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28b Production-Interval C <br /> Date First Test Date Hours Test Oil Gas Water Oil Gravity Gas Production Method <br /> Produced Tested Production BBL MCI' BBL Con-API Gravity <br /> 10110.- <br /> Choke Tbg.Press Csg 24 Hr Oil Gas Water Gas/Oil Well Status <br /> Size Flwg Press Rate BBL MCF BBI. Ratio <br /> SI tmillpi. <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 13131 Corr API Gravity <br /> ► <br /> Choke Tbg_Press Csg 24 Ht Oil Gas Water Gas/Oil Well Status <br /> Size Flwg Press Rate BBL MCF BBL Ratio <br /> SI moi. <br /> 29 Disposition of Gas(Solid.used for fuel.rented.etc) <br /> 30 Summary of Porous Zones(Include Aquifers) 31 Formation(Log)Markers <br /> Shots all important zones of porosity and contents thereof Cored intervals and all dell-stem tests. <br /> including depth interval tested,cushion used,time tool open,flowing and shut-in pressures and <br /> recoveries <br /> Top <br /> Formation Top Bottom Descriptions.Contents,etc Name <br /> Meas Depth <br /> Uinta 0 1120 Sandstone,marl tongues 0 <br /> Green River 1120 1843.5 Oil shale 1120 <br /> (TVD TD) <br /> 32 Additional remarks(include plugging procedure) <br /> Top of intermediate cement tagged in annulus t 64 ft.Topped off with 42 sacks. <br /> Open hole interval is 2222 3 to 2438.3 ft BGL,where connection was made with 16H-I well <br /> 33 Indicate which items have been attached by placing a check in the appropriate boxes <br /> ❑EleciricaliMechanicat Logs(1 full set req'd I 0 Geologic Repon ❑DST Repon m Directional Surrey <br /> 0 Sundry Notice for plugging and cement ienficanon ❑Core Analysis ❑Other <br /> 34 I hereby certify that the foregoing and attached information is complete and correct as determined from all available records(see attached instructions)* <br /> Name(please print) Gerald J Da,,aish Title President• Daub&Associates,Inc. <br /> fr Signature ' Date i ART <br /> Title 18 U S C Section 1001 and Title 431.1S C Section 1212.make it a crime for any person knos Imgly and willfully to make to any department or agency of the United States any <br /> false,fictitious of fraudulent statements or representations as to any matter within its jurisdiction <br /> (Continued on page 3) (Form 3160-4,page 2) <br />