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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. Lease Serial No. <br /> C-0118327 <br /> Ia. Type of Well LjOil Well Gas Well Dry Other 6. If Indian,Allottee or Tribe Name <br /> b. Type of Completion: ®New Well Work Over Lj Deepen ❑Plug Back ❑ Diff.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 15H-R <br /> 3. Address 3200 RBC M 3a. Phone No.(include area code) 9. AFI Well No. <br /> Rifle Co,81650 <br /> 4. Location of Well (Report location clearly and in accordance with Federal requirements)* 10. Field and Pool or Exploratory <br /> Lat 39.927050806 NAD 83 Boies Bed <br /> At surface Long 108.370714984 11. Sec.,T.,R.,M.,on Block and <br /> Surveyor 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 08/22/2016 17. Elevations (DF,RKB,RT,GL)* <br /> 08/12/2016 1 08/22/2016 D&A MReady to Prod. 6650.9 GL <br /> 18. Total Depth: MD 5477 19. Plug Back T.D.: MD 20. Depth Bridge Plug Set: MD <br /> TVD 1890.2 1 TVD TVD <br /> 21. Type Electric&Other Mechanical Logs Run (Submit copy of each) 22 Was well cored? No ❑Yes (Submit analysis) <br /> Gamma/density/caliper/resistivity/temperature,CBL/CCL Was DST run? ®No ❑Yes (Submit report) <br /> Directional Survey? No U1 Yes (Submit co <br /> 23. Casingand Liner Record (Report all strings set in well <br /> Hole Size Size/Grade Wt.(#/ft.) Top (MD) Bottom (MD) Stage Cementer No. of Sks.& Slurry Vol. Cement Top* Amount Pulled <br /> Depth Type of Cement BBL <br /> 24 13.375 48 0 120 155 yds type 1/11 0 <br /> 12.25 10.75 44.2 0 1179.1 305 sks varicem 134 121 <br /> 9.5 7.0 23 1128 2264 190 sks varicem 67 1288 <br /> 6.125 na 2698 <br /> 24. Tubing Record <br /> Size Depth Set MD Packer Depth MD Size Depth Set MD Packer Depth MD Size Depth Set MD Packer Depth(MD) <br /> 25. Producing Intervals 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 Squeeze,etc. <br /> Depth Interval Amount and Type of Material <br /> 28. Production-Interval A <br /> Date First Test Date Pours est Oil Gas Water Oil Gravity Gas roduction Method <br /> Produced ested roduction BBL MCF BBL Corr API Gravity <br /> Choke Tbg.Press.Csg. 4 Hr. oil Gas Water as/Oil Well Status <br /> Size Flwg. Press. to BBL MCF BBL Ratio <br /> I <br /> 28a. Production-Interval B <br /> Date First Test Date Pours Test Oil Gas ater Pil Gravity Gas Production Method <br /> Produced �ested Production BBL MCF BL of.API Gravity <br /> Choke Tbg.Press. sg. 24 Hr. Oil Gas ater as/Oil Tell Status <br /> Size Flwg. Press. Rate BBL MCF BL Ratio <br /> I <br /> *(See instructions and spaces for additional data on page 2) <br />