Ecologix Frac Data Request Form

Company Name*
First Name*
Last Name*
Street Address City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Project location
city, state of your expected project site.
Truck Hauling
Truck Hauling Service Used
Enter your truck hauling service
Location
Enter Location
Tank Volume
Enter tank volume
Cost Per Hour
Enter your cost per hour
Current Wells
Current Number of Wells
Enter current number of wells
Average Well Depth
Enter average well depths
Type of Well Drilled (Vertical, Horizontal, Fracture)
Enter type of well
Freshwater Required/well
is freshwater required/well
Flowback WW/Well
Flowback WW/Well
WW Disposed Volume/Well
WW Disposed Volume/Well
Cost of WW Disposal/Well
Cost of WW Disposal/Well
Volume of Treated Effluent to be Reused
Volume of Treated Effluent to be Reused
$/bbl of Treated Effluent to be reused in production
$/bbl of Treated Effluent to be reused in production
Future Wells
Future Number of Wells
Future Number of Wells
Average Well Depth
Average Well Depth
Type of Well Drilled (Vertical, Horizontal, Fracture)
Type of well drilled
Freshwater Required/well
Freshwater Required/well
Flowback WW/Well
Flowback WW/Well
WW Disposed Volume/Well
WW Disposed Volume/Well
Cost of WW Disposal/Well
Cost of WW Disposal/Well
Volume of Treated Effluent to be Reused
Volume of Treated Effluent
$/bbl of Treated Effluent to be reused in production
$/bbl of Treated Effluent to be reused in production
Treated flowback constituents of concern for reuse
TDS
Max
Min
Notes
Turbidity
Max
Min
Notes
Scaling Elements
Max
Min
Notes
Bacteria
Max
Min
Notes
Iron
Max
Min
Notes
Oils
Max
Min
Notes
Solids
Max
Min
Notes
Additional Notes

Ecologix Frac Data Request Form

Truck Hauling

Current Wells

Future Wells

Treated flowback constituents of concern for reuse

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