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28b Production-Interval C <br /> Date First Test Date Riours Test oil Gas ater Oil Gravity Gas Production Method <br /> Produced IT <br /> ested Production BBL MCF BL Corr API Gravity <br /> Choke Tbg Press sg. 24 Hr. Oil Gas ater as/Oil Well Status <br /> Size Flwg. Press Rate BBL MCF BL Ratio <br /> Si <br /> 28c Production-Interval D <br /> Date First Test Date Hours Test Oil Gas Water Oil Gravity Gas Production Method <br /> Produced Tested Production BBL MCF BBL Corr,API Gravity <br /> Choke Tbg.Press Csg. 24 Hr oil Gas WaterGas/Oil Well Status <br /> Size -lwg Press Rate BL MCF BBI, Ratio <br /> 29 Disposition of Gas(Solid,used tar fiiel,vented,etc) <br /> 30 Summary of Porous Zones (Include Aquifers) 31. Formation(Log)Markers <br /> Show all important zones of porosity and contents thereof: Cored intervals and all drill-stem tests, <br /> including depth interval tested,cushion used.time tool open,Flowing and shut-in pressures and <br /> recov enes. <br /> Top <br /> Formation Top Bottom Descriptions,Contents,etc Name <br /> Meas Depth <br /> Uinta 0 1114 Sandstone,siltstone <br /> Green River,Parachute 1283 1321 Lean oil shale,groundwater 1283 <br /> Creek,A-Groove <br /> Green River,Parachute 1474 1514 Lean oil shale,groundwater 1478 <br /> Creek B-Groove <br /> Green River,Parachute 1706 nd Lean oil shale,groundwater 1754 <br /> Creek L-5 Zone <br /> 32 Additional remarks(include plugging procedure) <br /> 33. Indicate which items have been attached by placing a check in the appropriate boxes: <br /> m F.IectricaPMechanical Logs 0 full set req'd) ❑Geologic Report ❑DS1 Report ®Ihrtictionel Survey <br /> ❑Sundry Notice for plugging and cement verification ❑Core Analysis ❑Other <br /> 34 1 hereby certify that the foregoing and attached information is complete and correct as determined from all available records(see attached instructions)' <br /> Name(please p,uir) Gerald J Daub _ Title President,Daub&Associates,Inc. <br /> Signature . Date <br /> Title 18 U.S.C.Section 1001 and Title 43 U.S C.Section 1212,make it a cnme for any person knowingly and willfully to make to any department or agency of the United States any <br /> false fictitious or fraudulent statements or representations as to any matter w ithin its junsdiction <br /> (Continued on page 3) (Form 3160-4,page 2) <br />