| Form 21 |  Related  Doc |
| Date Submitted: | 4/11/2013 | MIT Assigned By: | BROWNING, CHUCK |
| Date Recv'd: | 4/16/2013 | Facility ID: | 150200 |
| DocNum: | 1171480 | 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 | FEE |
| Operator contact: | DIANE PETERSON |
| Location: | | qtrqtr: SENE | section: 16 | township: 2N | range: 103W | meridian: 6 |
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| MIT Details: |
| Test Type: | VERIFICATION OF REPAIRS |
| Repair Type: | TUBING/PACKER LEAK |
| Repair Desc: | CLEAN OUT WELL. FISH PACKERS. RUN IN HOLE W/ NEW 187 JTS FIBERLINED TUBING. |
| Test Date: | 4/11/2013 |
| Field Rep: | BROWNING, CHUCK |
| Approved Date: | 4/11/2013 |
| Approved by: | BROWNING, CHUCK |
| Last Approved MIT: | 5/16/2008 |
| Injection/Producing Formation Zones: | WEBR |
| Perforation Interval: | NA |
| Open Hole Interval: | 6223-6555 |
| Bridge/Cement Plug Depth: | |
| Tubing Size: | 2.875 |
| Tubing Depth: | 6500.3 |
| Top Packer Depth: | 6069.1 |
| Multiple Packers: | Y |
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| Condition of approval: |
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| Test Data: | Wellbore Channel Test: | | Reading Type | Pressure | | 10 MIN CASE | 1210 | | 5 MIN CASE | 1210 | | CASE BEFORE | 0 | | FINAL CASE | 1210 | | FINAL TUBE | 1300 | | INITIAL TUBE | 1300 | | LOSS OR GAIN | 0 | | START CASE | 1210 |
| No channel test. |
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