| Form 21 |  Related  Doc |
| Date Submitted: | 12/16/2009 | MIT Assigned By: | KOEHLER, BOB |
| Date Recv'd: | 12/18/2009 | API number: | 05-103-09190 |
| DocNum: | 1769888 | Facility Status: | AC |
| 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: AC |
| Well Name/No. | UNION PACIFIC |
| Operator contact: | DIANE L PETERSON |
| Location: | | qtrqtr: SENW | section: 28 | township: 2N | range: 102W | meridian: 6 |
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| MIT Details: |
| Test Type: | VERIFICATION OF REPAIRS |
| Repair Type: | TUBING/PACKER LEAK |
| Repair Desc: | Shut in producing well - UIC failure - replace 184 joints 2 7/8" tubing DYB fiberlined tubing. |
| Test Date: | 12/15/2009 |
| Field Rep: | |
| Approved Date: | 12/30/2009 |
| Approved by: | KOEHLER, BOB |
| Last Approved MIT: | 9/27/2004 |
| Injection/Producing Formation Zones: | WEBR |
| Perforation Interval: | 5744-6440 |
| Open Hole Interval: | NA |
| Bridge/Cement Plug Depth: | NA |
| Tubing Size: | 2.875 |
| Tubing Depth: | 5558 |
| Top Packer Depth: | 5522 |
| 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 | -20 | | START CASE | 820 |
| No channel test. |
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