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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	05-103-09191	FEE 70AX	SCOUT ENERGY MANAGEMENT LLC 10779	AC 6/1/2023	RANGELY 72370	RIO BLANCO 103 SWSE 31 2N102W 6	315764	Related

Form 21

Date Submitted:

6/18/2021

MIT Assigned By:

Date Recv'd:

6/18/2021

Facility ID:

DocNum:

402723420

Facility Status:

Operator Information:

Oper. No.

16700

Operator:

CHEVRON USA INC

Address:

100 CHEVRON ROAD RANGELY CO 81648

Type Of Facility:

Well Status:

Facility Name

FEE

Operator contact:

ANITA SANFORD

Location:

qtrqtr:

section:

township:

range:

meridian:

MIT Details:

Test Type:

SI/TA MAINTENANCE STATUS

Test Date:

6/17/2021

Field Rep:

Browning, Chuck

Approved Date:

6/22/2021

Approved by:

Last Approved MIT:

4/6/2017

Injection/Producing Formation Zones:

WEBR

Perforation Interval:

5900-6541

Open Hole Interval:

Bridge/Cement Plug Depth:

Tubing Size:

2.875

Tubing Depth:

6527.1

Top Packer Depth:

5753.3

Multiple Packers:

Condition of approval:

Test Data:

Wellbore Channel Test:

Reading Type	Pressure
10 MIN CASE	348
5 MIN CASE	349
FINAL CASE	348
LOSS OR GAIN	-2
START CASE	350

No channel test.