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Form 3160-4 <br />(August 2007) UNITED STATES <br />DEPARTMENT OF THE INTERIOR <br />BUREAU OF LAND MANAGEMENT <br />WELL COMPLETION OR RECOMPLETION REPORT AND LOG <br />FORM APPROVED <br />OMB NO. 10040137 <br />Expires: July 31, 2010 <br />5. Lease Serial No. <br />C-0118327 <br />In. Type of Wcll U Oil Well Gas Well Dry 0 Other <br />6. If Indian, Allotter or Tribe Name <br />b. Type of Completion: ® New Well Work Over HDeepen ❑ Plug Back ❑ Diff Resvr., <br />rest <br />7. Unit or CA Agreement Name and No. <br />Other: <br />2 Name ofOperator <br />8. Lease Name and Well No. <br />Natural SodLLC <br />15H -R <br />3. Address 3200 RBC 31 <br />3a Phone No. (includr area code) <br />9. AFI Well No. <br />Rif Co 81650 <br />1179.1 <br />305 sits varicem 134 121 <br />4. Location of Weil (Report location clearly and in accordance with Federal requirements) * <br />10. Field and Pool or Exploratory <br />Lat 39.927050806 NAD 83 <br />Boles Bed <br />11. Sec., T., R., M., on Block and <br />At surface Long 908.370714984 <br />Survey or Arca S27 T1S R98W 8th <br />At lop prod. interval reported below <br />12. County or Parish <br />13. Stale <br />At total depth Lal TD: 39.926709571, Long TD, 108.357721946 <br />Rio Blanco <br />co <br />14. Date Spudded <br />15. Date T D Reached <br />16 Date Completed 08/2212016 <br />17. Elevations (DF, RKB, RT, GL)• <br />08112/2016 <br />08/22/2016 <br />rAD&A rlReadyloProd <br />6550.9 GL <br />18. Total Depth' MD 5477 <br />19. Plug Back T.D.- MD <br />24. Depth Bridge Plug Set: MD <br />TVD <br />TVD <br />TVD <br />21. Type Electric & Other Mechanical Logs Run (Submit copy ofeach) <br />22. Was well cored? 0 No ❑ Yes (Submit analysis) <br />Gamma/densitylcaliperlresistivityltemperature, CBLICCL <br />Was DST run? ® No ❑ Yes (Submit report) <br />Directional Survey,? No U1 Yes Submit co <br />23. Casingand <br />Lina Retard (Report all strings set in well) <br />Hours <br />rest <br />Hole Size <br />SizelGrsde WL (N:IL) Top (MD) <br />Bottom (MD) <br />Stage Cementer No of Sks & Slurry Vol. Cement Top* Amount Pulled <br />Depth Type of Cement BBL <br />24 <br />13.375 48 0 <br />120 <br />155 yds typa 1111 0 <br />12.25 <br />10.75 44.2 0 <br />1179.1 <br />305 sits varicem 134 121 <br />9.5 <br />7.0 23 1128 <br />2264 <br />190 sks varicem 67 1288 <br />6.125 <br />1 na 12698 <br />Packer <br />Formation <br />A) Green River <br />B) <br />Date First <br />Test Date <br />Hours <br />rest <br />it <br />as <br />Water <br />Al Gravity <br />Gas <br />Production Method <br />Produced <br />Tested <br />Production <br />BL <br />MCF <br />BBL <br />orr. API <br />Gravity <br />Choke <br />Tbg. Press. <br />C53. <br />24 Hr. <br />it <br />as <br />Water <br />as/O11 <br />Well Status <br />Size <br />Flwg. <br />Press, <br />Rate <br />IBL <br />CF <br />BBL <br />do <br />1 <br />-1!(0 Ff IlrlVlll - 111l1 l K <br />Date First <br />Test Date <br />Hours <br />Test <br />Nl <br />as <br />Wateroil <br />Gravity <br />Gas <br />roduction Method <br />Produced <br />Tested <br />Production <br />3BL <br />CF <br />BBL <br />Corr. API <br />Gravity <br />Choke <br />Tbg. Press. <br />Csg. <br />24 Hr. <br />it <br />as <br />Water <br />as/Oil <br />Well Status <br />Size <br />Flwg. <br />Press. <br />Rate <br />3BL <br />CF <br />BBL <br />Ratio <br />1 <br />-thee instructions ant spaces for aaautonat nota on page sl <br />