| Form 21 |  Related  Doc |
| Date Submitted: | 11/3/2014 | MIT Assigned By: | |
| Date Recv'd: | 11/5/2014 | API number: | 05-103-08704 |
| DocNum: | 1726712 | Facility Status: | AC |
| Operator Information: |
| Oper. No. | 16700 |
| Operator: | CHEVRON USA INC |
| Address: | 6001 BOLLINGER CANYON RD SAN RAMON CA 94583 |
| Type Of Facility: | WELL | Well Status: AC |
| Well Name/No. | CHEVRON FEE |
| Operator contact: | Diane L Peterson |
| Location: | | qtrqtr: NWNW | section: 20 | township: 2N | range: 102W | meridian: 6 |
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| MIT Details: |
| Test Type: | SI/TA MAINTENANCE STATUS |
| Test Date: | 11/5/2014 |
| Field Rep: | Granahan, Kyle |
| Approved Date: | 11/6/2014 |
| Approved by: | |
| Last Approved MIT: | 10/13/2011 |
| Injection/Producing Formation Zones: | WEBR |
| Perforation Interval: | 6090-6467 |
| Open Hole Interval: | |
| Bridge/Cement Plug Depth: | |
| Tubing Size: | 2.875 |
| Tubing Depth: | 5956 |
| Top Packer Depth: | 5918 |
| 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 | 340 | | 5 MIN CASE | 340 | | CASE BEFORE | 0 | | FINAL CASE | 340 | | FINAL TUBE | 0 | | INITIAL TUBE | 0 | | LOSS OR GAIN | 0 | | START CASE | 340 |
| | Channel Test | Test Date | | CBL | N/A | | TEMPERATURE SURVEY | N/A | | TRACER SURVEY | N/A |
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