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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	05-103-06187	LARSON, M B C 3-25	SCOUT ENERGY MANAGEMENT LLC 10779	IJ 9/1/2023	RANGELY 72370	RIO BLANCO 103 SWSW 25 2N102W 6	314598	Related

Form 21

Date Submitted:

10/1/2018

MIT Assigned By:

Date Recv'd:

10/1/2018

Facility ID:

DocNum:

401779383

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

LARSON, M B

Operator contact:

DIANE PETERSON

Location:

qtrqtr:

section:

township:

range:

meridian:

MIT Details:

Test Type:

5-YEAR UIC TEST

Test Date:

9/26/2018

Field Rep:

Browning, Chuck

Approved Date:

10/5/2018

Approved by:

Last Approved MIT:

9/12/2014

Injection/Producing Formation Zones:

WEBR

Perforation Interval:

6067-6411

Open Hole Interval:

Bridge/Cement Plug Depth:

Tubing Size:

2.875

Tubing Depth:

5703.3

Top Packer Depth:

5660.1

Multiple Packers:

Condition of approval:

Test Data:

Wellbore Channel Test:

Reading Type	Pressure
10 MIN CASE	1280
5 MIN CASE	1290
FINAL CASE	1280
FINAL TUBE	1667
INITIAL TUBE	1667
LOSS OR GAIN	-20
START CASE	1300

No channel test.