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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	05-103-07973	UNION PACIFIC 101 X 20	SCOUT ENERGY MANAGEMENT LLC 10779	AC 6/1/2023	RANGELY 72370	RIO BLANCO 103 NWSE 20 2N102W 6	315133	Related

Form 21

Date Submitted:

9/5/2017

MIT Assigned By:

Date Recv'd:

9/5/2017

Facility ID:

DocNum:

401394943

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:

VERIFICATION OF REPAIRS

Repair Type:

Repair Desc:

RUN IN HOLE WITH FIBERLINED TUBING AND PACKER

Test Date:

8/31/2017

Field Rep:

Granahan, Kyle

Approved Date:

9/12/2017

Approved by:

Last Approved MIT:

N/A

Injection/Producing Formation Zones:

WEBR

Perforation Interval:

5852-6415

Open Hole Interval:

Bridge/Cement Plug Depth:

Tubing Size:

2.875

Tubing Depth:

5805

Top Packer Depth:

5801

Multiple Packers:

Condition of approval:

Test Data:

Wellbore Channel Test:

Reading Type	Pressure
10 MIN CASE	400
5 MIN CASE	400
FINAL CASE	400
START CASE	400

No channel test.