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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	05-103-08735	U.P. 112 X 21	SCOUT ENERGY MANAGEMENT LLC 10779	AC 6/1/2023	RANGELY 72370	RIO BLANCO 103 NWNW 21 2N102W 6	315568	Related

Form 21

Date Submitted:

2/2/2022

MIT Assigned By:

Date Recv'd:

2/2/2022

Facility ID:

DocNum:

402944896

Facility Status:

Operator Information:

Oper. No.

16700

Operator:

CHEVRON USA INC

Address:

760 HORIZON DRIVE STE 401 GRAND JUNCTION CO 81506

Type Of Facility:

Well Status:

Facility Name

U.P.

Operator contact:

Anita Sanford

Location:

qtrqtr:

section:

township:

range:

meridian:

MIT Details:

Test Type:

SI/TA MAINTENANCE STATUS

Test Date:

1/23/2022

Field Rep:

Approved Date:

2/3/2022

Approved by:

Last Approved MIT:

5/17/2017

Injection/Producing Formation Zones:

WEBR

Perforation Interval:

6152-6455

Open Hole Interval:

Bridge/Cement Plug Depth:

Tubing Size:

2.875

Tubing Depth:

6079

Top Packer Depth:

6041.5

Multiple Packers:

Condition of approval:

Test Data:

Wellbore Channel Test:

Reading Type	Pressure
10 MIN CASE	350
5 MIN CASE	350
FINAL CASE	350
START CASE	350

No channel test.