Name of Company   Project

Physical Address Box No.

City   State Postal Code

Country/Province

Contact Name Phone

E-mail Address

Water Depth - Feet   Water Temperature - ºF

Boat Landing Elevation - Feet    Wave Profile Available

Type Splash Zone Protection  

        At Elevation - Feet to Feet

Max. Length - Feet   Max. Outside Diameter - Inches

Min. Wall Thickness - Inches   Required Oil Discharge Pressure - psi

Painting Specifications : Inside     From Top to Elevation - Feet

Painting Specifications : Outside  From Top to Elevation - Feet

Required Life for Interior Anodes - Years

Anodes Usage Milliamps/Square Feet/Year

DECK DRAIN WATER: 

   Oil Gravity - S. G.    Water Gravity- S. G.

    Plate Deck Area - Sq. Feet     Rainfall Intensity - Inches/Hour

    Oil PPM In     Retention Time - Minutes

PRODUCED WATER: 

    Oil Gravity - S. G.    Water Gravity- S. G.

    Temperature - ºF     Quantity - BBLS/Day

    Retention Time - Minutes

Additional Comments or Questions:

Note:  All Elevations from MGL