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Does the annulus pressure build back up after the test ? If Yes No psip <br />MECHANICAL INTEGRITY PRESSURE TEST <br />Additional comments for mechanical integrity pressure test, such as volume of fluid added to annulus and <br />bled back at end of test, reason for failing test (casing head leak, tubing leak, other), etc.: <br />The long string of Well 28-21 took less than 1 barrel of water to fill the well up. A maximum <br />pressure of 330 psig was reached with sustained pressure recorded at 330 psig over the 30 minute <br />test period. Water was removed from the well after the test to 5 feet below ground surface to <br />prevent freezing of the well head. <br />The short string of Well 28-21 was plugged and abandoned in December 2008, thus was not tested <br />for mechanical integrity in 2010. A welded metal cap is in place on the cemented casing. <br />Signature of Witness: <br />OFFICE USE ONLY - COMPLIANCE FOLLOWUP <br />Staff <br />Do you agree with the reported test results? [ ] YES [ ] NO <br />If not, why? <br />Possible violation identified? [ ] YES [ ] NO <br />If YES, what <br />If YES - followup initiated? [ ] YES <br />[ ] NO -why not? <br />Date: <br />[ ] Data Entry <br />[ ] Compliance Staff [ 12 nd Data Entry <br />[ ] Hardcopy Filing <br />Page 2 of 2