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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	05-103-09186	UNION PACIFIC 143Y28	SCOUT ENERGY MANAGEMENT LLC 10779	AC 6/1/2023	RANGELY 72370	RIO BLANCO 103 SWNW 28 2N102W 6	315759	Related

Form 21

Date Submitted:

12/10/2015

MIT Assigned By:

Date Recv'd:

12/10/2015

Facility ID:

DocNum:

400951264

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:

VERIFICATION OF REPAIRS

Repair Type:

Repair Desc:

RUN NEW 2 7/8" TUBING AND PACKER

Test Date:

12/9/2015

Field Rep:

Browning, Chuck

Approved Date:

12/10/2015

Approved by:

Last Approved MIT:

2/25/2012

Injection/Producing Formation Zones:

WEBR

Perforation Interval:

5699-6411

Open Hole Interval:

Bridge/Cement Plug Depth:

Tubing Size:

2.875

Tubing Depth:

5642.9

Top Packer Depth:

5635

Multiple Packers:

Condition of approval:

Test Data:

Wellbore Channel Test:

Reading Type	Pressure
10 MIN CASE	360
5 MIN CASE	360
FINAL CASE	360
START CASE	360

No channel test.