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Form 3160-4 <br /> (June 2015) UNITED STATES <br /> DEPARTMENT OF THE INTERIOR FORM APPROVED <br /> OMB NO 1004.0137 <br /> BUREAU OF LAND MANAGEMENT Expires January 31,2018 <br /> WELL COMPLETION OR RECOMPLETION REPORT AND LOG 5 Lease Serial No <br /> C-01183277 <br /> la Type of Well 0 Oil Well 0 Gas Well 0 Dry ®Other 6 If Indian,Allottee or Tribe Name <br /> b Type of Competton ®Ness Well 0 Work Oser ❑Deepen 0 Plug Back ❑Diff Zones 0 Hydraulic Fracturing <br /> Other solution mining well 7 Unit or CA Agreement Name and No <br /> 2 Name of Operator 8 Lease Name and Well No <br /> Natural Soda LLC 16H-I <br /> 3 Address 3a Phone No (Include area code) 9 API Well No <br /> 3200 Rio Blanco County Road 31,Rifle CO.81650 (970)878-3674 <br /> 4 Location of Well(Report location clearly and in accordance with Federal requirements)* 10 Field and Pool or Exploratory <br /> Lat.39.926880108 Long.-108 370772483 <br /> At surface 11 Sec,T,R,M.,on Block and <br /> Survey or Area S34,T1S,R98W,6th <br /> At top prod interval reported below 12 County or Parish 13. State <br /> Ai total depth Lat:39 926158386 Long:-108.356930368 Rio Blanco CO <br /> 14. Date Spudded 15 Date T D Reached 16 Date Completed 07/12/2017 17 Elevations(DF,RKB.RT,GL)* <br /> 06/24/2017 07/11/2017 ❑D&A ❑Read}to Prod 6681.5 RKB,6668.8 GL <br /> 18 Total Depth MD 5411.7 19 Plug Back TD MD 20 Depth Bridge Plug Set MD <br /> TVD 1910 TVD TVD <br /> 21 Type Electric&Other Mechanical Logs Run(Submit cop}of each) 22 Was well cored', ®No 0 Yes(Submit analysis) <br /> Gamma Ray,Neutron,Density,Electric,Caliper,Temperature Was DST run", ❑No 0 Yes(Submit report) <br /> Directional Survey? 0 No ®Yes(Submit copy) <br /> 23 Casing and Liner Record(Report all strings set in hell) <br /> Hole Size Size/Grade Wt (*ft) Top(MD) Bottom(MD) Stage Cementer yp ofCks a Slurry Vol Cement Top* Amount Pulled <br /> Depth Type of Cemrnt {BBL) <br /> 26.0 16.0 J55 72.7 0 115.8 na Type ill 48 1 0 0 <br /> 9.5 7.0 J55 23.0 0 2171 3 1352 636 Type G 255 0 0 <br /> 6.125 4.5 J55 11.6 1910.9 5407.3 na na na na 0 <br /> 24 Tubing Record <br /> Size Dept Set(MD) Packer Dept(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 Intenal Size No Holes Perf Status <br /> A) <br /> B) <br /> C) <br /> D) <br /> 27 Acid.Fracture Treatment.Cement Squeeze.Post hydraulic fracturing chemical disclosures on FracFocus org <br /> Depth Intenal Amount.Type of Material and Date of Chemical Disclosure upload on FracFocus org <br /> 28 Production-Interval A <br /> Date First Test Date Hours Test Oil Gas Water Oil Gravity Gas Production Method <br /> Produced Tested Production BBL MCF BBI. Corr API Gravity <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 <br /> stat. <br /> 28a Production-Interval B <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 /> ta>.11oo- <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 talillie. <br /> *(See instructions and spaces for additional data on page 2) <br />