Date

Company Name
Location / Lease Name
Contact Name
Contact Email
General Information
1. Will the unit be delivering to a pipline? If YES what is the pipline pressure?
YES NO
Pressure
2. Will the unit be receiving from a pipline?
3. If yes to above, who's Pipeline Specifications shall the unit be built to?
4. Will the unit be delivering to a truck? (Truck Loading)
5. Will the unit be receiving from a truck? (Truck Unloading)
6. If yes to above, who's Trucking Specifications shall the unit be built to?
7. At what flow rate or flow range will the unit need to operate at?
8. At what Pressure range will the unit need to operate at? (min-max)
9. Does the unit need to be vic(grooved), threaded or flange connections?
10. What will the product be ? Crude Oil / Condensate / NGL /
11. What will the API or Specific gravity of the product be ?
12. What will the Viscosity of the product be ?
13. ERW or Seamless pipe?
Comments:                                                                                                                        
Strainer
1. Do you need a strainer?
2. If yes to above, do you require a standard or a high capacity body ?
3. What size mesh do you need in the strainer plate or basket ? (1/16, 1/8, 1/4)
4. Do you need DP taps on the strainer?
5. If yes to above, do you need a diff. gauge or two single gauges?
YES NO
Air Eliminator / Deareator
1. Do you need an air eliminator?
2. Do you need a deareator?
3. Does the air eliminator need to be plumed to sump or edge of skid?
YES NO
Comments:                                                                                                                        
BS & W Monitor or Water Cut
1. Do you need an air eliminator?
2. If yes to above, do you want digital monitor or other. Please specify type.
YES NO
3. Is a densitometer required?
4. If yes to above, please specify type.
Comments:                                                                                                                        
Sampling
1. Do you need an air eliminator?
YES NO
2. If yes to above, what type of sampler will be needed? API beveled probe or Isokonitic?
3. Will sample probe be needed?
4. Will static mixer be needed?
Comments:                                                                                                                        
Sample Container
1. What size sample container will be needed? (Gallons)
2. Will sample pot require static mixer?
3. Gauge cocks (Brass, carbon steel or stainless)
4. Will sample pot require quick opening lid or T Bolt?
YES NO
Sample Container (cont'd)
5. Will sample pot require pressure relief valve?
6. If yes to above, what pressure does the pressure relief need to be set at?
7. Will sample pot require vacuum relief valve?
8. Does sample pump out need to be plumed to main pump suction or sump?
9. Does mixer pump motor need to be explosion proof or TEFC?
YES NO
Comments:                                                                                                                        
Divert Valve
1. Is Divert valve needed?
2. Electric or pneumatic?
3. Does divert line need back pressure valve?
4. Does divert line need check valve?
YES NO
Comments:                                                                                                                        
Meter
1. Will unit be custody transfer or check?
2. Coriolis meter?
3. Positive displacement (PD)?
4. If yes to PD meter, please answer the following:
a. Right angle drive?
b. Type of counter, resettable or non resetable?
c. Meter output, barrels or gallons?
5. Ultrasonic meter?
6. Turbine meter?
YES NO
Instrument Spool
1. Is temperature averager required?
2. Temperature transmitter required?
3. Temperature test well required?
4. Pressure gauges required?
5. Pressure transmitters required?
YES NO
Comments:                                                                                                                        
Prover Loop
 YE NO
S
1. True block and bleed valve required?

2. Does block and bleed need to have DTR or just tattle tale valve?

3. Do the prover take off valves need to be full port or reduced, please
specify?
4. What type of connections needed for provers? (cam locks or hammer
unions)
5. If cam locks needed, what type of material? (brass, stain less or aluminum)

6. If hammer unions needed, standard material or o rings seals?

Comments:                                                                                                                        
Back Pressure Valve/Control Valve
1. Is back pressure valve needed on main line?
2. Diaphragm operated, pneumatic or electric actuated controlled?
3. Will check valve be needed downstream of pressure control?
YES NO
Comments:                                                                                                                        
Miscellaneous Equipment
1. Is X-ray required?
2. If so, to what specs?
3. Will X-ray be 10% or 100%?
4. Is Hydro required?
5. If so, 1 hour or 4 hour or
specify?
Oil & Gas Custody Transfer
Data Sheet
YES NO
6. Sand blasting - commercial blast or near white blast?
7. Does company have paint specs?
8. Paint specs - two or three part system?
9. Paint color?
10. Skid requirements - environmental floor?
Comments:                                                                                                                        
Electrical
 YE NO
S
1.PLC?

2. Panel rack mounted on skid or off skid?

3. Class 1 Div 1

4. Class 1 Div 2

5. Pump and motor explosion proof or TEFC?

Comments:
VALIN (California) VALIN (New Mexico) VALIN (Texas) 7748 Downing
Ave. 925 Malta Ave. 2127 Trinity Manor Lane Bakersfield, CA 93308
Farmington, NM 87401 Richmond, TX 77469
toll free: 800.588.7686 tel: 505.326.5428 tel: 281.232.2199
tel: 661.589.7686 fax: 505.326.2890
fax: 661.589.6883