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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	05-103-09190	UNION PACIFIC 142Y28	SCOUT ENERGY MANAGEMENT LLC 10779	AC 6/1/2023	RANGELY 72370	RIO BLANCO 103 SENW 28 2N102W 6	315763	Related

Form 21

Date Submitted:

6/22/2023

MIT Assigned By:

Date Recv'd:

6/22/2023

Facility ID:

DocNum:

403442740

Facility Status:

Operator Information:

Oper. No.

10779

Operator:

SCOUT ENERGY MANAGEMENT LLC

Address:

13800 MONTFORT DRIVE SUITE 100 DALLAS TX 75240

Type Of Facility:

Well Status:

Facility Name

UNION PACIFIC

Operator contact:

Anita Sanford

Location:

qtrqtr:

section:

township:

range:

meridian:

MIT Details:

Test Type:

SI/TA MAINTENANCE STATUS

Test Date:

6/21/2023

Field Rep:

Burchett, Kirby

Approved Date:

7/6/2023

Approved by:

Last Approved MIT:

6/4/2018

Injection/Producing Formation Zones:

WEBR

Perforation Interval:

5744-6440

Open Hole Interval:

Bridge/Cement Plug Depth:

Tubing Size:

2.875

Tubing Depth:

5604

Top Packer Depth:

5591

Multiple Packers:

Condition of approval:

Test Data:

Wellbore Channel Test:

Reading Type	Pressure
10 MIN CASE	369
5 MIN CASE	370
FINAL CASE	368
LOSS OR GAIN	-2
START CASE	370

No channel test.