Contact Person:
Data Center Name:
Parent Organization:
Address:



City: State: ZIP:
Phone:
FAX:
Contact EMail:

Total Data Center Staff Size:

Type of Repository:

Public
Federal State/Local Academic Other
Private
Membership Association Commercial Proprietary

Current size of repository storage area (square feet):
Do you plan to increase your storage area in the next 12 months? If so, by how much:

Data Access Fee
None Per Search Membership Dues Other

Catalog and Index Type
Paper CD-ROM Web-based Dial-Up Leased-line Terminal Fiche

Digital Catalog Details
Database Type (Please check the appropriate items)

Flat File (Text) Oracle Sybase MS SQLServer MySQL PostgreSQL Ingress SAS SAP DB2 Arc/Info Access FoxPro dBase

Number of records in database:

Data Delivery Media

Paper CD-ROM On-line Mail Local Use

Please indicate the nature of geolocation information in your well records

Latitude/Longitude Township/Range/Section Legal

Please indicate the volume of geoscience data holdings, and please select each region for which you have that data type. You can select multiple regions by holding your "control" key and clicking your mouse on each region.

Total Line-miles of 2-D Seismic:

Eastern Onshore Atlantic Offshore Gulf Onshore Permian Basin Mid-Continent Rockies/N. Plains Colorado Plateau/Basin & Range Pacific Onshore Pacific Offshore Alaska International

Total Square-miles of 3-D Seismic:
Eastern Onshore Atlantic Offshore Gulf Onshore Permian Basin Mid-Continent Rockies/N. Plains Colorado Plateau/Basin & Range Pacific Onshore Pacific Offshore Alaska International

Number of well logs:
Eastern Onshore Atlantic Offshore Gulf Onshore Permian Basin Mid-Continent Rockies/N. Plains Colorado Plateau/Basin & Range Pacific Onshore Pacific Offshore Alaska International

Total feet of core:
Eastern Onshore Atlantic Offshore Gulf Onshore Permian Basin Mid-Continent Rockies/N. Plains Colorado Plateau/Basin & Range Pacific Onshore Pacific Offshore Alaska International

Number of scout tickets/completion cards:
Eastern Onshore Atlantic Offshore Gulf Onshore Permian Basin Mid-Continent Rockies/N. Plains Colorado Plateau/Basin & Range Pacific Onshore Pacific Offshore Alaska International

Types of Digital Data

Well Logs 2-D Seismic 3-D Seismic Core Photos Core Analyses Scout Tickets Maps Air Photos Geochemical Analyses

Volume of Digital Data (in either records or MB):

NAME OF PERSON COMPLETING FORM: