| Form 21 |  Related  Doc |
| Date Submitted: | 10/6/2011 | MIT Assigned By: | KOEHLER, BOB |
| Date Recv'd: | 10/14/2011 | Facility ID: | 150200 |
| DocNum: | 1771528 | Facility Status: | AC |
| Operator Information: |
| Oper. No. | 16700 |
| Operator: | CHEVRON USA 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 LEAK |
| Repair Desc: | PLUG BACK OPEN HOLE TO ABOVE THE OIL/WATER CONTACT-REPLACE TUBING. FORM 5 SUBMITTED ONLINE DOC # 400210627-CBL SUBMITTED ONLINE AS ATTACHMENT. |
| Test Date: | 10/4/2011 |
| Field Rep: | |
| Approved Date: | 10/19/2011 |
| Approved by: | KOEHLER, BOB |
| Last Approved MIT: | 4/14/2010 |
| Injection/Producing Formation Zones: | WEBR |
| Perforation Interval: | NA |
| Open Hole Interval: | 6327-6545 |
| Bridge/Cement Plug Depth: | NA |
| Tubing Size: | 2.875 |
| Tubing Depth: | 6390 |
| Top Packer Depth: | 6222 |
| Multiple Packers: | Y |
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| Condition of approval: |
| OPEN HOLE PLUGGED BACK TO 6545' (PBTD). FORM 5 IN-PROCESS TO DATE. |
| Test Data: | Wellbore Channel Test: | | Reading Type | Pressure | | 10 MIN CASE | | | 5 MIN CASE | | | CASE BEFORE | 0 | | FINAL CASE | 820 | | FINAL TUBE | 0 | | INITIAL TUBE | 0 | | LOSS OR GAIN | 0 | | START CASE | 820 |
| | Channel Test | Test Date | | CBL | 9/26/2011 |
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