| Form 21 |  Related  Doc |
| Date Submitted: | 2/13/2008 | MIT Assigned By: | KOEHLER, BOB |
| Date Recv'd: | 2/19/2008 | Facility ID: | 150200 |
| DocNum: | 1618221 | Facility Status: | AC |
| Operator Information: |
| Oper. No. | 16700 |
| Operator: | CHEVRON U S A INC |
| Address: | 100 CHEVRON ROAD RANGELY CO 81648 |
| Type Of Facility: | UIC ENHANCED RECOVERY | Well Status: AC |
| Facility Name | FEE |
| Operator contact: | DIANE L 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: | Run in hole with 172 joints new fiberlined 2 7/8" tubing. |
| Test Date: | 2/11/2008 |
| Field Rep: | |
| Approved Date: | 2/20/2008 |
| Approved by: | KOEHLER, BOB |
| Last Approved MIT: | 8/5/2004 |
| Injection/Producing Formation Zones: | WEBR |
| Perforation Interval: | 5710-6287 |
| Open Hole Interval: | NA |
| Bridge/Cement Plug Depth: | |
| Tubing Size: | 2.875 |
| Tubing Depth: | 6317 |
| Top Packer Depth: | 5422 |
| Multiple Packers: | Y |
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| Condition of approval: |
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| Test Data: | Wellbore Channel Test: | | Reading Type | Pressure | | No test data. |
| No channel test. |
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