Well Data Sheet Company Name Contact* First Last Address Street Address City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Phone*FaxEmail* Well # - L. S. D.Field Name/LocationFormation Type & NameAge of WellEstimated Depth of Paraffin/AsphalteneIs there Paraffinn / Asphaltene in the flowline?YesNoDo you pig the flowline?YesNoDo you suspect formation plugging or damage due to Paraffin / Asphaltene?YesNoAPI of gravity of oilBottom hole temperature C/FBottom hole pressureDaily oil production - bbl/m³Daily water production - bbl/m³Daily gas production - MCF/decs.Number of Perforated Zones?Perforation depth - from ft/m - to ft/mWell T.D. ft/mTubing T.D. ft/mCasing size - mm/inchesTubing size - mm/inchesIs there a Packer in the Well?YesNoIs it a Pumping or flowing well?PumpingFlowingWhat type of pump is used?Oil & water produced upCasingTubingOpen hole or casingOpenCasingPrevious 6 month production history? (decline)Drive mechanismElectricGasOtherPrevious treatments usedHot OilChemicalNoneFrequency of previous treatmentsRelative success of previous treatmentsApprox. Cost of previous treatmentsIs the well's downhole hydrostatic pressure easily off-set to squeeze treated oil into the formation?YesNoEstimated amount of fluid and pressure to fill casing and pump treated oil into the formation? Big Chief Ventures Inc. 109 Erica Drive, Lacombe, Alberta, T4L 0G3, Canada Phone: 1-250-787-6780 admin@bigchiefventures.com Contact Big Chief 1-250-787-6780 Phone 109 Erica Drive Lacombe, Alberta T4L 0G3, Canada Locations British Columbia Alberta Saskatchewan Overseas