| Form 21 |  Related  Doc |
| Date Submitted: | 1/21/2008 | MIT Assigned By: | KOEHLER, BOB |
| Date Recv'd: | 1/24/2008 | API number: | 05-103-10670 |
| DocNum: | 200189378 | Facility Status: | IJ |
| Operator Information: |
| Oper. No. | 16700 |
| Operator: | CHEVRON U S A INC |
| Address: | 100 CHEVRON ROAD RANGELY CO 81648 |
| Type Of Facility: | WELL | Well Status: IJ |
| Well Name/No. | M.C. HAGOOD A |
| Operator contact: | DIANE L PETERSON |
| Location: | | qtrqtr: NWSE | section: 15 | township: 2N | range: 103W | meridian: 6 |
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| MIT Details: |
| Test Type: | VERIFICATION OF REPAIRS |
| Repair Type: | OTHER |
| Repair Desc: | CONVERTED PRODUCTION WELL TO INJECTION WELL. REPLACE 202 JOINTS TUBING W/NEW FIBERLINED TUBING. |
| Test Date: | 1/16/2008 |
| Field Rep: | |
| Approved Date: | 6/25/2008 |
| Approved by: | KOEHLER, BOB |
| Last Approved MIT: | N/A |
| Injection/Producing Formation Zones: | WEBR |
| Perforation Interval: | |
| Open Hole Interval: | 6415-6731 |
| Bridge/Cement Plug Depth: | |
| Tubing Size: | 2.875 |
| Tubing Depth: | 6401 |
| Top Packer Depth: | 6315 |
| Multiple Packers: | Y |
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| Condition of approval: |
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| Test Data: | Wellbore Channel Test: | | Reading Type | Pressure | | 10 MIN CASE | | | 5 MIN CASE | | | CASE BEFORE | | | FINAL CASE | 800 | | FINAL TUBE | 0 | | INITIAL TUBE | 0 | | LOSS OR GAIN | 0 | | START CASE | 800 |
| | Channel Test | Test Date | | CBL | 6/30/2006 |
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