| Form 21 |  Related  Doc |
| Date Submitted: | 10/3/2012 | MIT Assigned By: | KOEHLER, BOB |
| Date Recv'd: | 10/5/2012 | Facility ID: | 150200 |
| DocNum: | 1772047 | Facility Status: | AC |
| Operator Information: |
| Oper. No. | 16700 |
| Operator: | CHEVRON USA INC |
| Address: | 100 CHEVRON ROAD RANGELY CO 81648 |
| Type Of Facility: | UIC ENHANCED RECOVERY | Well Status: AC |
| Facility Name | MCLAUGHLIN, A C |
| 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: | UIC REPAIR-RUN 192 JOINTS NEW TUBING AND PACKERS. |
| Test Date: | 9/28/2012 |
| Field Rep: | |
| Approved Date: | 4/5/2013 |
| Approved by: | KOEHLER, BOB |
| Last Approved MIT: | 9/16/2011 |
| Injection/Producing Formation Zones: | WEBR |
| Perforation Interval: | NA |
| Open Hole Interval: | 6350-6990 |
| Bridge/Cement Plug Depth: | NA |
| Tubing Size: | 2.875 |
| Tubing Depth: | 6292 |
| Top Packer Depth: | 6111 |
| Multiple Packers: | Y |
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| Condition of approval: |
| Email from Diane Peterson to Bob Koehler (10/15/2012) says open hole interval is 6350-6690'. There is or was some confusion about this. Steve Jenkins looking into it. |
| Test Data: | Wellbore Channel Test: | | Reading Type | Pressure | | 10 MIN CASE | | | 5 MIN CASE | | | CASE BEFORE | | | FINAL CASE | 1250 | | FINAL TUBE | | | INITIAL TUBE | | | LOSS OR GAIN | 0 | | START CASE | 1250 |
| No channel test. |
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