| Form 21 |  Related  Doc | | Date Submitted: | 1/24/2007 | MIT Assigned By: | ADKINS, JAIME | | Date Recv'd: | 1/24/2007 | Facility ID: | 150200 | | DocNum: | 200103930 | 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 | M.B. LARSON A | | Operator contact: | DIANE PETERSON | | Location: | | qtrqtr: SENE | section: 16 | township: 2N | range: 103W | meridian: 6 |
| | MIT Details: | | Test Type: | 5-YEAR UIC TEST | | Test Date: | 1/17/2007 | | Field Rep: | CARVER, FRANKI | | Approved Date: | 2/9/2007 | | Approved by: | ADKINS, JAIME | | Last Approved MIT: | N/A | | Injection/Producing Formation Zones: | WEBR | | Perforation Interval: | NA | | Open Hole Interval: | 6495-6772 | | Bridge/Cement Plug Depth: | | | Tubing Size: | 2.875 | | Tubing Depth: | 6515' | | Top Packer Depth: | 6442 | | Multiple Packers: | Y | | | | Condition of approval: | | | Test Data: | Wellbore Channel Test: | | Reading Type | Pressure | | 10 MIN CASE | 750 | | 5 MIN CASE | 750 | | CASE BEFORE | 0 | | FINAL CASE | 750 | | FINAL TUBE | 0 | | INITIAL TUBE | 0 | | LOSS OR GAIN | 0 | | START CASE | 750 |
| | Channel Test | Test Date | | CBL | 1/11/2007 |
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