Report Detail

Skip to Main Content

COGIS - Mechanical Integrity Test Report

Form 21

Date Submitted:

MIT Assigned By:

Date Recv'd:

Facility ID:

DocNum:

Facility Status:

Operator Information:

Oper. No.

Operator:

Address:

Type Of Facility:

Well Status:

Facility Name

Operator contact:

Location:

qtrqtr:

section:

township:

range:

meridian:

MIT Details:

Test Type:

Test Date:

Field Rep:

Approved Date:

Approved by:

Last Approved MIT:

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.