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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	05-103-07351	LEVISON 30X	SCOUT ENERGY MANAGEMENT LLC 10779	IJ 4/21/2023	RANGELY 72370	RIO BLANCO 103 SENE 27 2N102W 6	314834	Related

Form 21

Date Submitted:

11/25/2002

MIT Assigned By:

ADKINS, JAIME

Date Recv'd:

4/25/2003

Facility ID:

150200

DocNum:

1253752

Facility Status:

AC

Operator Information:

Oper. No.

16700

Operator:

CHEVRON U S A INC

Address:

P O BOX 4791 HOUSTON TX 77210-4791

Type Of Facility:

UIC ENHANCED RECOVERY

Well Status: AC

Facility Name

LEVISON

Operator contact:

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 TBG

Test Date:

11/21/2002

Field Rep:

Approved Date:

1/9/2003

Approved by:

ADKINS, JAIME

Last Approved MIT:

5/16/2001

Injection/Producing Formation Zones:

WEBR

Perforation Interval:

6004-6490

Open Hole Interval:

NA

Bridge/Cement Plug Depth:

NA

Tubing Size:

2.875

Tubing Depth:

5787

Top Packer Depth:

5750

Multiple Packers:

N

Condition of approval:

Test Data:

Wellbore Channel Test:

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

No channel test.