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Form 3160-4 <br /> (August 2007) <br /> UNITED STATES <br /> FORM APPROVED <br /> DEPARTMENT OF THE INTERIOR <br /> OMB NO 1004.0137 <br /> BUREAU OF LAND MANAGEMENT Expires July 31,2010 <br /> WELL COMPLETION OR RECOMPLETION REPORT AND LOG 5 [ease Sena]No. <br /> C-0118327 <br /> Ia. Type of Well I Oil Well LJ Gas Well Dry 0 Other 6 if Indian,Atlottec or Tribe Name <br /> b lype ofCompletion- ®New Well U Work Over H Deepen ❑Plug Back ❑ tiff Resvr., <br /> Other: 7 Unit or CA Agreement Name and No. <br /> 2. Name of Operator 8. Lease Name and Well No. <br /> Natural Soda LLC 151-1-I <br /> 3. Address 3200 RBC 31 3a Phone No.(include area code) 9. AM Well No <br /> Rfie Co,81650 <br /> 4. I ocation of Well (Report location clear/t and in accordance with Federal requirements)` 10. Field and Pool or Exploratory <br /> Lat 39.927254000 NAD 83 Boies Bed <br /> At surface Long 108 371481000 11. Sec.,T..R.,M.,on Block and <br /> Survey or Area S27 T1S R98W 6th <br /> At top prod interval reported below 12. County or Parish 13. State <br /> At total depth Lat TD- 39 926709571,Long TD 108.357721946 Rio Blanco CO - <br /> 14 Date Spudded 15. Date T.D Reached 16 Date Completed 08/11/2016 17. Elevations (DF,RKB,RT,C;L)' <br /> 07/2612016 08/11/2016 D&A rnjReady to Prod. 6650.5 GL <br /> 18 Total Depth. MD 5477 19. Plug Back T.D.. MD 20 Depth Bridge Plug Set: MD <br /> TVD 1890.2 TVD TVD <br /> 21 Type Electric&Other Mechanical Logs Run (Submit copy of each) 22 Was well cored' 0 No ❑Yes (Submit analysts) <br /> Gamma/density/caliper/resistivityttemperature,CBL/CCL Was DST run? ®No ❑Yes(Submit report) <br /> Directional Survey? No V1 Yes Submit copy) <br /> 23. Casingand Liner Record (Report all strings set in well <br /> Hole Sve StzuGrade Wt (t6'H) lop (MD) Bottom (MD) Stage Cementer No of Sks & Slurry Vol Cement Top' Amount Pulled <br /> Depth lypc of Cement BBL) <br /> 24 13 375 48 0 84 8.5 yds type 1/II 0 <br /> 9.5 7.0 23 0 2164 1360 790 sks vari 284 0 <br /> 6.125 4.5 11.4 1875.2 5471 <br /> 24. Tubm W Record <br /> Size De di Set MD Packer Depth(MD) Size Depth Set (MD) Packer Depth MD Size Depth Set MD Packer Depth(MD) <br /> 25. Producing Inten als 26. Perforation Record <br /> Formation Top Bottom Perforated Interval Size No.Holes Perf.Status <br /> A) Green River <br /> B) <br /> C) <br /> D) <br /> 27. Acid,Fracture,Treatment,Cement Squerze,etc <br /> Depth Interval Amount and Type of Material <br /> 28. Production-Interval A <br /> Date First Test Date [ours Test I as Water it Gravity as roduction Method <br /> Produced ested rtduchnn BL MCF BBL otr API Gravity <br /> Choke Tbg,Press I sg- 24 Hr. Oil Gas Water Gas/Oil Well Status <br /> Size lag Tess Rate BBL CI- BBL Ratio <br /> SI <br /> 28a Production-Interval B <br /> Date First est Date ours Test Oil Gas Water Oil Grar ity 'as Production Method <br /> Produced ested Production BL M(1- BL Corr.AN 'rarit) <br /> —11111. <br /> Choke lbg Press.C sg. 24 Hr. Oil Gas Water 'as/Oil Well Status <br /> Size Flwg Press Rate BBL MCF BBL Patio <br /> I <br /> '(See instructions and spaces for additional data on page 2) <br />