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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	05-103-09041	UNION PACIFIC 134X-21	SCOUT ENERGY MANAGEMENT LLC 10779	IJ 7/7/2015	RANGELY 72370	RIO BLANCO 103 SWNW 21 2N102W 6	315698	Related

Form 21

Date Submitted:

6/17/2016

MIT Assigned By:

Date Recv'd:

6/17/2016

Facility ID:

DocNum:

401064365

Facility Status:

Operator Information:

Oper. No.

16700

Operator:

CHEVRON USA INC

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:

6/15/2016

Field Rep:

Browning, Chuck

Approved Date:

6/17/2016

Approved by:

Last Approved MIT:

9/10/2012

Injection/Producing Formation Zones:

WEBR

Perforation Interval:

6068-6500

Open Hole Interval:

Bridge/Cement Plug Depth:

Tubing Size:

2.875

Tubing Depth:

6530.9

Top Packer Depth:

5953.2

Multiple Packers:

Condition of approval:

Test Data:

Wellbore Channel Test:

Reading Type	Pressure
10 MIN CASE	1200
5 MIN CASE	1200
FINAL CASE	1200
FINAL TUBE	1649
INITIAL TUBE	1649
START CASE	1200

No channel test.