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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	05-103-06201	LARSON, F V B-8	SCOUT ENERGY MANAGEMENT LLC 10779	IJ 5/9/2017	RANGELY 72370	RIO BLANCO 103 NESE 26 2N102W 6	314605	Related

Form 21

Date Submitted:

6/18/2021

MIT Assigned By:

Date Recv'd:

6/18/2021

Facility ID:

DocNum:

402723531

Facility Status:

Operator Information:

Oper. No.

16700

Operator:

CHEVRON USA INC

Address:

100 CHEVRON ROAD RANGELY CO 81648

Type Of Facility:

Well Status:

Facility Name

LARSON, F V

Operator contact:

ANITA SANFORD

Location:

qtrqtr:

section:

township:

range:

meridian:

MIT Details:

Test Type:

5-YEAR UIC TEST

Test Date:

6/17/2021

Field Rep:

Browning, Chuck

Approved Date:

6/22/2021

Approved by:

Last Approved MIT:

3/8/2017

Injection/Producing Formation Zones:

WEBR

Perforation Interval:

Open Hole Interval:

6068-6487

Bridge/Cement Plug Depth:

Tubing Size:

2.875

Tubing Depth:

6033.1

Top Packer Depth:

5881.5

Multiple Packers:

Condition of approval:

Test Data:

Wellbore Channel Test:

Reading Type	Pressure
10 MIN CASE	1250
5 MIN CASE	1250
FINAL CASE	1250
FINAL TUBE	1340
INITIAL TUBE	1340
START CASE	1250

No channel test.