| Form 21 |  Related  Doc | | Date Submitted: | 4/24/2012 | MIT Assigned By: | BROWNING, CHUCK | | Date Recv'd: | 4/27/2012 | API number: | 05-103-06119 | | DocNum: | 1171381 | Facility Status: | IJ | | Operator Information: | | Oper. No. | 16700 | | Operator: | CHEVRON PRODUCTION COMPANY | | Address: | 100 CHEVRON RD RANGELY CO 81648 | | Type Of Facility: | WELL | Well Status: IJ | | Well Name/No. | FEE | | Operator contact: | DIANE PETERSON | | Location: | | qtrqtr: NWSE | section: 17 | township: 2N | range: 102W | meridian: 6 |
| | MIT Details: | | Test Type: | 5-YEAR UIC TEST | | Test Date: | 4/24/2012 | | Field Rep: | BROWNING, CHUCK | | Approved Date: | 4/24/2012 | | Approved by: | BROWNING, CHUCK | | Last Approved MIT: | 9/24/2007 | | Injection/Producing Formation Zones: | WEBR | | Perforation Interval: | NA | | Open Hole Interval: | 6350-6690 | | Bridge/Cement Plug Depth: | | | Tubing Size: | 2.875 | | Tubing Depth: | 6645.9 | | Top Packer Depth: | 6239.7 | | Multiple Packers: | Y | | | | Condition of approval: | | | Test Data: | Wellbore Channel Test: | | Reading Type | Pressure | | 10 MIN CASE | 1200 | | 5 MIN CASE | 1200 | | CASE BEFORE | 0 | | FINAL CASE | 1200 | | FINAL TUBE | | | INITIAL TUBE | | | LOSS OR GAIN | 0 | | START CASE | 1200 |
| No channel test. |
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