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Mechanical Integrity Test <br />Casing or Annulus Pressure Mechanical Integrity Test <br />U.B. Environmental Protection Agenq <br />Untlerground !nledion Conbol Frogram, UIC Direct Impkmentaiion Program BP-W-(YN <br />999 ]8'" Street, Suile SOD Denver, CO 802D2-.'466 <br />EPA Witness: _ <br />Test conducted by: <br />Others present: _ <br />Date: <br />Well Name: Type: ER SWD Status: AC TA UC <br />Field: <br />Location: Sec:_ T _ N / S R_E / W County: State:_ <br />Operator: <br />Last MIT: / / Maximum Allowable Pressure: PSIG <br />Is this a regularly scheduled test? [ )Yes <br />Initial test for permit? [ ]Yes <br />Test after well rework? [ ]Yes <br />Wel] injecting during test? [ ]Yes <br />Pre-test casing/tubing annulus pressure: <br />[ I No <br />[ ] No <br />[ l No <br />[ ] No If Yes, rate: bpd <br />psig <br />M]T DATA TABLE Test NI Test #i2 Test #/3 <br />TUBING PRESSURE <br />Initial Pressure si si si <br /> c~ <br />CASING/TUBING ANNULUS PRESSURE <br />0 minutes si si si <br />5 minutes si si si <br />] 0 minutes si si si <br />15 minutes si si si <br />20 minutes si si si <br />25 minutes si si si <br />30 minutes si si ~ <br />minutes si si si <br /> <br />RESULT Pass Fail [ Pass Fail Pass Fail <br />Does the annulus pressure build back up after the test 7 [ ]Yes [ ] No <br />Paye t of 2 ~OVt?f~ <br />