| Form 21 |  Related  Doc | | Date Submitted: | 5/14/2003 | MIT Assigned By: | KRABACHER, JAY | | Date Recv'd: | 9/23/2003 | Facility ID: | 150200 | | DocNum: | 1190825 | Facility Status: | AC | | Operator Information: | | Oper. No. | 16700 | | Operator: | CHEVRON U S A INC | | Address: | P O BOX 4791 HOUSTON TX 77210 | | Type Of Facility: | UIC ENHANCED RECOVERY | Well Status: AC | | Facility Name | ROOTH, D F | | Operator contact: | DIANE PETERSON | | Location: | | qtrqtr: SENE | section: 16 | township: 2N | range: 103W | meridian: 6 |
| | MIT Details: | | Test Type: | 5-YEAR UIC TEST | | Test Date: | 5/13/2003 | | Field Rep: | KRABACHER, JAY | | Approved Date: | 9/23/2003 | | Approved by: | KRABACHER, JAY | | Last Approved MIT: | 5/5/1998 | | Injection/Producing Formation Zones: | WEBR | | Perforation Interval: | NA | | Open Hole Interval: | 6578 - 7255 | | Bridge/Cement Plug Depth: | | | Tubing Size: | 2.875 | | Tubing Depth: | 7225 | | Top Packer Depth: | 6343 | | Multiple Packers: | N | | | | Condition of approval: | | | Test Data: | Wellbore Channel Test: | | Reading Type | Pressure | | 10 MIN CASE | 825 | | 5 MIN CASE | 825 | | CASE BEFORE | 0 | | FINAL CASE | 825 | | FINAL TUBE | 0 | | INITIAL TUBE | 0 | | LOSS OR GAIN | 0 | | START CASE | 825 |
| | Channel Test | Test Date | | TRACER SURVEY | 12/13/1990 |
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