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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	05-103-07573	FEE 91X	SCOUT ENERGY MANAGEMENT LLC 10779	IJ 7/1/2018	RANGELY 72370	RIO BLANCO 103 SENE 28 2N102W 6	314933	Related

Form 21

Date Submitted:

2/14/2023

MIT Assigned By:

Date Recv'd:

2/14/2023

Facility ID:

DocNum:

403320826

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

FEE

Operator contact:

Anita Sanford

Location:

qtrqtr:

section:

township:

range:

meridian:

MIT Details:

Test Type:

5-YEAR UIC TEST

Test Date:

2/10/2023

Field Rep:

Browning, Chuck

Approved Date:

2/15/2023

Approved by:

Last Approved MIT:

6/6/2018

Injection/Producing Formation Zones:

WEBR

Perforation Interval:

5833-6533

Open Hole Interval:

Bridge/Cement Plug Depth:

Tubing Size:

2.875

Tubing Depth:

5830

Top Packer Depth:

5764

Multiple Packers:

Condition of approval:

Test Data:

Wellbore Channel Test:

Reading Type	Pressure
10 MIN CASE	1250
5 MIN CASE	1250
FINAL CASE	1250
FINAL TUBE	1328
INITIAL TUBE	1328
START CASE	1250

No channel test.