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Form 3160-4 <br /> (June 2015) UNITED STATES <br /> DEPARTMENT OF THE INTERIOR FMB MOPPROVLD <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 ❑Gm Well ❑DT) ®Other 6 If Indian,Allottee or Tribe Name <br /> b Type of Compeuon ® New Well 0 Work Over ❑Deepen 0 Plug Back ❑Diff Zones 0 Hydraulic Fracturing <br /> 7 Unit or CA Agreement Name and No <br /> Other solution mining recovery well <br /> 2, Name of Operator 8 Lease Name and Well No <br /> Natural Soda LLC 16H-R <br /> 3 Address 3a Phone No (Include area code) 9 API Well No <br /> 3200 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.39.926848404 Long:-108 371348247 NAD 83 <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 /> At total depth Lat 39 926231417 Long -108.367786738 NAD 83 Rio Blanco CO <br /> 14 Date Spudded 15 Date T D Reached 16 Date Completed 17 Elevations(DF,RKB,RT,GL)' <br /> 07/14/2017 07/23/2017 ❑D&A ❑ Ready to Prod 6662.9 RKB,6650.2 GL <br /> 18 Total Depth. MD 2438 3 19 Plue Back TD MD 20 Depth Bridge Plug Set MD <br /> TVD 1843.5 TVD TVD <br /> 21 Type Electric&Other Mechanical Logs Run(Submit copy of each) 22 Was well cored9 ®No ❑Yes(Submit analysis) <br /> CBL Was DST run" ❑No ❑Yes(Submit report) <br /> Directional Survey? ❑No 0 Yes(Submit copy) <br /> 23 Casing and Liner Record(Report all strings set in well) <br /> Hole Size Size'Gradc Wt (ch) Top(MD) Bottom IMD) Stage Cementer No ofSes h. Slue Vol Cement To Amount Pulled <br /> Depth TypeoCCement (BBL) P� <br /> 26" 16.0"J55 72 72 0 112.6 GL 10 cu yds surface 0 <br /> 13 5" 9.625"J55 36 0 2219.7 1358 6 1272 424 surface 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 Interval Sys No Holes Pelf Status <br /> A) <br /> B) <br /> C) <br /> U) <br /> 27 Acid,Fracture Treatment,Cement Squeeze.Post hydraulic fracturing chemical disclosures on FracFocus org <br /> Depth Interval Amount,Type of Material and Date of Chemical Disclosure upload on FracFocus org <br /> 28 Production-Inter al A <br /> Date First Test Date Hours Test Oil Gas Water Oil Gravity Gas Production Method <br /> Produced Tested Production BBI. MCF BBL Corr API Gravity <br /> Choke Tbg Press Csg 24 Hr Oil Gas Water Gas/O11 Well Status <br /> Size Flwg Press Rate BBL MCI BBL Ratio <br /> SI omplipi. <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 BBI. Corr API Gravity <br /> sm.. <br /> Choke Rig Press Csg 24 Hr Oil Gas Water Gas/Oil Well Status <br /> Size Flwg Press Rate BBI. MCF BBL Ratio <br /> SI ...00.. <br /> "(See instructions and spaces for additional data on page 2) <br />