| Form 21 |  Related  Doc |
| Date Submitted: | 8/27/2009 | MIT Assigned By: | KOEHLER, BOB |
| Date Recv'd: | 8/31/2009 | API number: | 05-103-09297 |
| DocNum: | 1769543 | Facility Status: | PR |
| Operator Information: |
| Oper. No. | 16700 |
| Operator: | CHEVRON U S A INC |
| Address: | 6001 BOLLINGER CANYON RD SAN RAMON CA 94583 |
| Type Of Facility: | WELL | Well Status: PR |
| Well Name/No. | FEE |
| Operator contact: | DIANE L PETERSON |
| Location: | | qtrqtr: SWSE | section: 17 | township: 2N | range: 102W | meridian: 6 |
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| MIT Details: |
| Test Type: | VERIFICATION OF REPAIRS |
| Repair Type: | TUBING/PACKER LEAK |
| Repair Desc: | POOH WITH PRODUCTION STRING - SET PACKER AND SHUT IN WELL FOR ECONOMICS |
| Test Date: | 8/24/2009 |
| Field Rep: | |
| Approved Date: | 9/21/2009 |
| Approved by: | KOEHLER, BOB |
| Last Approved MIT: | 6/2/2008 |
| Injection/Producing Formation Zones: | WEBR |
| Perforation Interval: | 6244-6538 |
| Open Hole Interval: | NA |
| Bridge/Cement Plug Depth: | NA |
| Tubing Size: | 2.875 |
| Tubing Depth: | 6219 |
| Top Packer Depth: | 6180 |
| Multiple Packers: | N |
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| Condition of approval: |
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| Test Data: | Wellbore Channel Test: | | Reading Type | Pressure | | 10 MIN CASE | | | 5 MIN CASE | | | CASE BEFORE | | | FINAL CASE | 800 | | FINAL TUBE | | | INITIAL TUBE | | | LOSS OR GAIN | 0 | | START CASE | 800 |
| No channel test. |
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