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COGIS - Mechanical Integrity Test Report

Facility Type	Facility ID/ API	Facility Name/ Number	Operator Name/ Number	Status	Field Name/ Number	Location	Location ID	Related Facilities
WELL	05-103-06122	UNION PACIFIC 55-17	SCOUT ENERGY MANAGEMENT LLC 10779	IJ 2/19/2019	RANGELY 72370	RIO BLANCO 103 SESE 17 2N102W 6	314557	Related

Form 21

Date Submitted:

6/22/2015

MIT Assigned By:

Date Recv'd:

6/22/2015

Facility ID:

DocNum:

400856524

Facility Status:

Operator Information:

Oper. No.

16700

Operator:

CHEVRON PRODUCTION COMPANY

Address:

100 CHEVRON RD RANGELY CO 81648

Type Of Facility:

Well Status:

Facility Name

UNION PACIFIC

Operator contact:

DIANE PETERSON

Location:

qtrqtr:

section:

township:

range:

meridian:

MIT Details:

Test Type:

5-YEAR UIC TEST

Test Date:

6/19/2015

Field Rep:

Browning, Chuck

Approved Date:

8/24/2015

Approved by:

Last Approved MIT:

10/4/2011

Injection/Producing Formation Zones:

WEBR

Perforation Interval:

Open Hole Interval:

6327-6545

Bridge/Cement Plug Depth:

Tubing Size:

2.875

Tubing Depth:

6390

Top Packer Depth:

6221.9

Multiple Packers:

Condition of approval:

Test Data:

Wellbore Channel Test:

Reading Type	Pressure
10 MIN CASE	1200
5 MIN CASE	1200
FINAL CASE	1200
START CASE	1200

No channel test.