Enter Ticket Number
Please enter the time in Military Format
MM slash DD slash YYYY
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Select Offload Facility Name
Select the offload bay the truck has pulled into
Select Trucking Company
Select Oil Company / Operator
If a Trucking Company is also the Operator then choose name of Oil Company from following list
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Choose Well Name
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Choose Anadarko Well Name
Choose Anschutz Well Name
Choose Basin Oil & Gas Water Well Name
Choose Berenergy Name
Choose Bright Rock Well Name
Choose Chaco Well Name
Choose Contreras Name
Choose Incomplex Well Name
Choose Occidental Well Name
Choose Incomplex Well Name
Choose Select Water Well Name
Choose Chesapeake Well Name
Choose Continental Resources Well Name
Choose Devon Well Name
Fuzion Field Services Water Well Name
Choose Hoffman Well Name
Choose IGO Well Name
Choose Prima Well Name
Choose P.O.&G Resources Well Name
Choose Powder River Processing Well Name
Choose Northwoods Well Name
Choose R&R Well Name
Choose R&R Well Name
Choose RKI Well Name
Choose Rocky Well Name
Choose Samson Well Name
Choose 1876 Well Name
Choose Impact Well Name
Choose Elephant Well Name
Choose Massif Well Name
Choose Vigils Trucking Well Name
Choose ZOCO Unlimited Well Name
If well name is not on drop-down list above please add here and call Sandy to advise her.
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Select water type by facility
Select water type for Lemay
Select water type for Hornbuckle
Add number of bbl on ticket
Please let us know if there was a wait time. Choose 'Yes' or 'No' (less the 15 mins is not considered 'Wait Time')
Please select the wait time duration in minutes.
Choose Your Name
Add a comment if anything has changed, a new company or location or if you are unsure
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Please click on this field to take photo of the ticket
Please click on this field to take photo of the ticket
