equipment information

Surface Equipment Form

Hydraulic artificial lift offers several equipment options and system configurations that provide flexibility in designing for specific field and well requirements. Please provide as much information as possible.

Company Information
Company		Address
Contact
E-mail
		Date
Phone
Fax
Application Data
Lease/Field		Application
Fluid Type		Fluid Specific Gravity
Fluid Temperature (deg F)		Fluid Viscosity (ssu)
Location Elevation (ft)		Ambient Temperature (deg F)
Suction Pressure (psi)		NPSH (ft)
Pump Accessories
Discharge Dampener:	Yes/No	Relief valve: reg. port/full port
Suction Stabilizer:	Yes/No	Charge Pump:	Yes/No
No load start up by-pass:	Yes/No	Piping to each of skid:	Yes/No
Hi/Low pressure shutdown:	Yes/No	Vibration shutdown:	Yes/No
Drain system & valves:	Yes/No	Low lube oil shutdown:	Yes/No
Gear reducer / Belt drive		Coupling guard:	Yes/No
Prime Mover
Electric Motor		Engine
Frequency:50 HZ/60HZ		Radiator cooled / Heat exchanger
Voltage:		Air start / Electric start
Motor Specifications:NEMA / Explosion Proof/TEFC		Clutch PTO:Yes/No
Panel Enclosure Specifications:NEMA / Explosion Proof/TEFC		Alternator charging system:Yes/No
Remote start/stop:Yes/No		Control Panel:Yes/No
Low voltage start panel:Yes/No		Muffler:Standard/Spark arresting
Emergency shut down:Yes/No		Special fuel specifications:
Desired motor speed:		Special Considerations:
Safety factor:		Desired manufacturer:
Insulation type:		Transmission:Yes/No
Other information that might be required: