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COGIS - Mechanical Integrity Test Report

Form 21

Date Submitted:

5/29/2015

MIT Assigned By:

Date Recv'd:

5/29/2015

Facility ID:

DocNum:

400846552

Facility Status:

Operator Information:

Oper. No.

22755

Operator:

DAVIS, LLC* EDWARD MIKE

Address:

730 17TH ST STE 450 DENVER CO 80202

Type Of Facility:

Well Status:

Facility Name

Operator contact:

John Kelly

Location:

qtrqtr:

section:

township:

range:

meridian:

MIT Details:

Test Type:

Test Date:

N/A

Field Rep:

Approved Date:

6/1/2015

Approved by:

Last Approved MIT:

N/A

Injection/Producing Formation Zones:

Perforation Interval:

Open Hole Interval:

Bridge/Cement Plug Depth:

Tubing Size:

Tubing Depth:

Top Packer Depth:

Multiple Packers:

Condition of approval:

Test Data:

Wellbore Channel Test:

Reading Type	Pressure
No test data.

No channel test.