| Form 21 |  Related  Doc |
| Date Submitted: | 2/16/2011 | MIT Assigned By: | ONYSKIW, DENISE |
| Date Recv'd: | 3/1/2011 | API number: | 05-103-05486 |
| DocNum: | 2617242 | Facility Status: | AC |
| Operator Information: |
| Oper. No. | 16700 |
| Operator: | CHEVRON USA INC |
| Address: | 6001 BOLLINGER CANYON RD SAN RAMON CA 94583 |
| Type Of Facility: | WELL | Well Status: AC |
| Well Name/No. | CARNEY |
| Operator contact: | DIANE L PETERSON |
| Location: | | qtrqtr: NENW | section: 35 | township: 2N | range: 102W | meridian: 6 |
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| MIT Details: |
| Test Type: | VERIFICATION OF REPAIRS |
| Repair Type: | OTHER |
| Repair Desc: | Pulled production equipment, run in hole with 161 joints DYB 2 7/8" tubing and packer. |
| Test Date: | 2/11/2011 |
| Field Rep: | |
| Approved Date: | 3/1/2011 |
| Approved by: | ONYSKIW, DENISE |
| Last Approved MIT: | N/A |
| Injection/Producing Formation Zones: | WEBR |
| Perforation Interval: | NA |
| Open Hole Interval: | 5833-6475 |
| Bridge/Cement Plug Depth: | |
| Tubing Size: | 2.875 |
| Tubing Depth: | 5169.5 |
| Top Packer Depth: | 5137 |
| Multiple Packers: | N |
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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 | 790 | | FINAL TUBE | | | INITIAL TUBE | | | LOSS OR GAIN | 0 | | START CASE | 790 |
| No channel test. |
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