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Service Calls -Form Fill

Section One
Q1

Person Receiving Call:*

Q2

Rig Name:*

Q3

Operator:*

Q4

Rig Contact Information:*

Q5

Service request for (select one/highest priority/system):*

Q6

Additional Information on Issue/Action Taken (if required):

Q7

District:*

Q8

Urgency of Request:*