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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:

6/13/2018

MIT Assigned By:

Date Recv'd:

6/13/2018

Facility ID:

DocNum:

401671966

Facility Status:

Operator Information:

Oper. No.

16700

Operator:

CHEVRON USA INC

Address:

100 CHEVRON RD RANGELY CO 81648

Type Of Facility:

Well Status:

Facility Name

UNION PACIFIC

Operator contact:

DIANE PETERSON

Location:

qtrqtr:

section:

township:

range:

meridian:

MIT Details:

Test Type:

SI/TA MAINTENANCE STATUS

Test Date:

6/4/2018

Field Rep:

Approved Date:

6/18/2018

Approved by:

Last Approved MIT:

10/22/2014

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:

5591.9

Multiple Packers:

Condition of approval:

Test Data:

Wellbore Channel Test:

Reading Type	Pressure
10 MIN CASE	500
5 MIN CASE	500
FINAL CASE	500
START CASE	500

No channel test.