| Form 21 |  Related  Doc |
| Date Submitted: | 10/16/2009 | MIT Assigned By: | KOEHLER, BOB |
| Date Recv'd: | 10/19/2009 | Facility ID: | 150200 |
| DocNum: | 1769913 | 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: | UIC ENHANCED RECOVERY | Well Status: AC |
| Facility Name | UNION PACIFIC |
| 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 AND CASING LEAK |
| Repair Desc: | Run 5 1/2" liner from surface to 5431' - 169 joints 2 7/8" fiberlined tubing. |
| Test Date: | 10/15/2009 |
| Field Rep: | BROWNING, CHUCK |
| Approved Date: | 1/19/2010 |
| Approved by: | KOEHLER, BOB |
| Last Approved MIT: | 7/1/2009 |
| Injection/Producing Formation Zones: | WEBR |
| Perforation Interval: | 5637-6282 |
| Open Hole Interval: | NA |
| Bridge/Cement Plug Depth: | NA |
| Tubing Size: | 2.875 |
| Tubing Depth: | 5633 |
| Top Packer Depth: | 5390 |
| 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 | | | 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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