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Please complete this form online. Or you may print the form out, complete it, and fax it to:
Phoenix Chemical Corporation 16541 Redmond Way #212C Redmond, WA 98052
Phone: 425-306-6776 Email: Info@PARC400.com
5. Estimated depth of Paraffin / Asphaltene:
6. Paraffin / Asphaltene in the flowline:
8. Do you suspect formation plugging or damage due to Paraffin / Asphaltene:
24. Oil & water produced up:
26. Previous 6 month production history:
33. Estimated amount of fluid and pressure to inject fluid into the formation: