| Form 21 |  Related  Doc |
| Date Submitted: | 11/14/2008 | MIT Assigned By: | KOEHLER, BOB |
| Date Recv'd: | 11/28/2008 | API number: | 05-103-06387 |
| DocNum: | 1618952 | Facility Status: | PR |
| Operator Information: |
| Oper. No. | 16700 |
| Operator: | CHEVRON U S A INC |
| Address: | 100 CHEVRON ROAD RANGELY CO 81648 |
| Type Of Facility: | WELL | Well Status: PR |
| Well Name/No. | LEVISON |
| Operator contact: | DIANE L PETERSON |
| Location: | | qtrqtr: NESW | section: 26 | township: 2N | range: 102W | meridian: 6 |
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| MIT Details: |
| Test Type: | VERIFICATION OF REPAIRS |
| Repair Type: | OTHER |
| Repair Desc: | SHUT IN PRODUCTION WELL, RE-PERF AND RETURN TO PRODUCTION |
| Test Date: | 10/23/2008 |
| Field Rep: | |
| Approved Date: | 12/3/2008 |
| Approved by: | KOEHLER, BOB |
| Last Approved MIT: | 2/16/2007 |
| Injection/Producing Formation Zones: | WEBR |
| Perforation Interval: | 6055-6446 |
| Open Hole Interval: | NA |
| Bridge/Cement Plug Depth: | 4749 |
| Tubing Size: | 2.875 |
| Tubing Depth: | 4036 |
| Top Packer Depth: | |
| Multiple Packers: | N |
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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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