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COGIS - Mechanical Integrity Test Report

Facility Type	Facility ID/ API	Facility Name/ Number	Operator Name/ Number	Status	Field Name/ Number	Location	Location ID	Related Facilities
WELL	05-103-09282	LACY, S B 2AX	SCOUT ENERGY MANAGEMENT LLC 10779	IJ 10/12/2022	RANGELY 72370	RIO BLANCO 103 NWSW 24 2N103W 6	315805	Related

Form 21

Date Submitted:

6/20/2005

MIT Assigned By:

KRABACHER, JAY

Date Recv'd:

7/21/2005

Facility ID:

150200

DocNum:

1170770

Facility Status:

AC

Operator Information:

Oper. No.

16700

Operator:

CHEVRON PRODUCTION COMPANY

Address:

100 CHEVRON RD RANGELY CO 81648

Type Of Facility:

UIC ENHANCED RECOVERY

Well Status: AC

Facility Name

LACY, S B

Operator contact:

DIANE PETERSON

Location:

qtrqtr: SENE

section: 16

township: 2N

range: 103W

meridian: 6

MIT Details:

Test Type:

VERIFICATION OF REPAIRS

Repair Type:

TUBING/PACKER LEAK

Repair Desc:

replace tubing

Test Date:

6/15/2005

Field Rep:

Approved Date:

7/21/2005

Approved by:

KRABACHER, JAY

Last Approved MIT:

6/15/2004

Injection/Producing Formation Zones:

WEBR

Perforation Interval:

5941 - 6567

Open Hole Interval:

NA

Bridge/Cement Plug Depth:

Tubing Size:

2.875

Tubing Depth:

6586

Top Packer Depth:

5808

Multiple Packers:

Y

Condition of approval:

Test Data:

Wellbore Channel Test:

Reading Type	Pressure
10 MIN CASE	800
5 MIN CASE	800
CASE BEFORE	0
FINAL CASE	800
FINAL TUBE	0
INITIAL TUBE	0
LOSS OR GAIN	0
START CASE	800

No channel test.