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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	05-005-07375	Jamaso 4-65 5-6-10	AXIS EXPLORATION LLC 10646	PR 10/5/2023	WILDCAT 99999	AURORA/ARAPAHOE 005 SWNW 4 4S65W 6	454144	Related

Form 21

Date Submitted:

6/14/2021

MIT Assigned By:

Date Recv'd:

6/14/2021

Facility ID:

DocNum:

402706863

Facility Status:

Operator Information:

Oper. No.

10646

Operator:

AXIS EXPLORATION LLC

Address:

370 17TH ST SUITE 5200 DENVER CO 80202

Type Of Facility:

Well Status:

Facility Name

Jamaso 4-65

Operator contact:

Philip Antonioli

Location:

qtrqtr:

section:

township:

range:

meridian:

MIT Details:

Test Type:

SI/TA MAINTENANCE STATUS

Test Date:

6/2/2021

Field Rep:

Sherman, Susan

Approved Date:

6/23/2021

Approved by:

Last Approved MIT:

N/A

Injection/Producing Formation Zones:

Perforation Interval:

NP

Open Hole Interval:

Bridge/Cement Plug Depth:

18194

Tubing Size:

Tubing Depth:

Top Packer Depth:

Multiple Packers:

Condition of approval:

Test Data:

Wellbore Channel Test:

Reading Type	Pressure
10 MIN CASE	370
5 MIN CASE	371
FINAL CASE	370
LOSS OR GAIN	-2
START CASE	372

No channel test.