| Form 21 |  Related  Doc |
| Date Submitted: | 8/29/2023 | MIT Assigned By: | |
| Date Recv'd: | 8/29/2023 | Facility ID: | |
| DocNum: | 403512510 | 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 | LARSON, F V |
| Operator contact: | Anita Sanford |
| Location: | | qtrqtr: | section: | township: | range: | meridian: |
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| MIT Details: |
| Test Type: | 5-YEAR UIC TEST |
| Test Date: | 8/24/2023 |
| Field Rep: | Browning, Chuck |
| Approved Date: | 8/31/2023 |
| Approved by: | |
| Last Approved MIT: | 9/26/2018 |
| Injection/Producing Formation Zones: | WEBR |
| Perforation Interval: | 5594-6369 |
| Open Hole Interval: | |
| Bridge/Cement Plug Depth: | |
| Tubing Size: | 2.875 |
| Tubing Depth: | 6090 |
| Top Packer Depth: | 5234 |
| Multiple Packers: | |
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| Condition of approval: |
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| Test Data: | Wellbore Channel Test: | | Reading Type | Pressure | | 10 MIN CASE | 370 | | 5 MIN CASE | 372 | | FINAL CASE | 370 | | LOSS OR GAIN | -5 | | START CASE | 375 |
| No channel test. |
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