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Service Quote Request (SQR) Form

*First Name:  <%=Request.QueryString("sFirstName")%>   *Address Line 1:  <%=Request.QueryString("sAddressLine1")%> *Last Name:  <%=Request.QueryString("sLastName")%>    Address Line 2:  <%=Request.QueryString("sAddressLine2")%> *Company:  <%=Request.QueryString("sCompany")%>   *City:  <%=Request.QueryString("sCity")%> *Phone Number:  <%=Request.QueryString("sPhoneNumber")%>    State/Province:  <%=Request.QueryString("sState")%>  Fax Number:  <%=Request.QueryString("sFaxNumber")%>    Zip Code:  <%=Request.QueryString("sZipCode")%> *Email Address:  <%=Request.QueryString("sEmailAddress")%>   *Country:  <%=Request.QueryString("sCountry")%>

Analytical Services

Transient Test Analysis     Basic (i.e. buildup, drawdown, falloff...)   Specialized (i.e. flow-after-flow, modified isochronal...)   Pulse/Interference Node Systems Analysis Production Log Analysis Regulatory Test Calculations (Third Party)

Enter additional information that would be useful in further describing the analysis work wanted. This is especially helpful for the more advanced analysis services.

Field Services The following information is required for estimating the cost of slickline services. This is the minimal information required. An ARC representative may contact you if additional information is needed. Indicate units (feet, meters, deg F, etc…). Some job types such as four-point testing may require a variety of separate services and will probably require follow-up communications with an ARC representative.

Type of Field Service     Pressure Testing (gradient, transient…)   Memory Production Logging   Heavy Wireline (plugs, paraffin cutting, bailing…)   Temperature Surveys (top of cement)

Number of Wells:    Well Depth:  Bottomhole Temperature:    Surface Pressure:  Gauge Type:    Test Length:  Number of Gauges:  (single, tandem**...)   Contaminants(ppm,%):  (H2S, CO2...) Horizontal Well (Yes/No):  For Memory Production Logging jobs only Yes:   No:    ** The use of tandem gauges is highly recommended.

Additional detailed information should be entered that will help to accurately describe the well intervention. If Pressure Testing is chosen, the type of test needs to be detailed. For example is it a gradient, buildup, falloff or another type. If Memory Production Log is chosen, is the entire logging string or only a limited number of sensors required? If a combination of job types are required each should be thoroughly described.