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Fomi 3160-5 UNITED STATES FORM APPROVED <br /> (June 160- OMB No 1004-0137 <br /> DEPARTMENT OF THE INTERIOR Expires January 31,2018 <br /> BUREAU OF LAND MANAGEMENT 5 Lease Serial No COC-0119986 <br /> SUNDRY NOTICES AND REPORTS ON WELLS 6 If Indian,Allottee or Tribe Name <br /> Do not use this form for proposals to drill or to re-enter an <br /> abandoned well.Use Form 3160-3 APD for such proposals. <br /> SUBMIT IN TRIPLICATE-Other instructions on page 2 7 If Unit of CA/Agreement.Name and/or No <br /> 1 Type of Well <br /> ❑Oil Well ❑Gas Well m Other 8 Well Name and No 8H-RI <br /> 2 Name of Operator Natural Soda LLC 9 API Well No <br /> 3a Address 3200 Rio Blanco County Rd 31 3b.Phone No (include area code) 10 Field and Pool or Exploratory Area <br /> Rifle,CO.,81650 (970)878-3674 Boies Bed <br /> 4 Location of Well(Footage Sec.. T.R.M.or Survey Description) 1 I Country or Parish,State <br /> Lat•39 926442000 Long.-108.367388000 NAD 83 Rio Blanco <br /> 12 CHECK THE APPROPRIATE BOX(ES)TO INDICATE NATURE OF NOTICE,REPORT OR OTHER DATA <br /> TYPE OF SUBMISSION TYPE OF ACTION <br /> ❑Notice of Intent ❑Acid ize ❑Deepen ❑Production(Start/Resume) ❑Water Shut-Off <br /> ❑Alter Casing ❑Hydraulic Fracturing ❑Reclamation ❑Well Integrity <br /> ©Subsequent Report ❑Casing Repair ❑New Construction ❑Recomplete ❑Other <br /> ❑Change Plans ©Plug and Abandon ❑Temporarily Abandon <br /> ❑Final Abandonment Notice ❑Convert to Injection ❑Plug Back ❑Water Disposal <br /> 13 Describe Proposed or Completed Operation Clearly state all pertinent details,including estimated starting date of any proposed work and approximate duration thereof If <br /> the proposal is to deepen directionally or recomplete horizontally,give subsurface locations and measured and true vertical depths of all pertinent markers and zones Attach <br /> the Bond under which the work will be performed or provide the Bond No on file with BLM/BIA Required subsequent reports must be filed within 30 days following <br /> completion of the inaolved operations If the operation results in a multiple completion or recompletion in a new interval,a Form 31604 must be filed once testing has been <br /> completed Final Abandonment Notices must he filed only after all requirements,including reclamation,have been completed and the operator has detennined that the site <br /> is ready for final inspection) <br /> All depths referenced to GL. The 8H-RI was abandoned due to exhaustion of minable bicarbonate and well damage. While attempting to clean out the <br /> 7.625"casing,the work tubing would not pass a depth of 1785 feet Following multiple attempts to get past 1785 feet,a video log was run to determine <br /> cause The 7.625"casing was found to be parted at a depth of 1717 feet,deformed from 1734-1750 feet,and parted and offset at 1764 feet. Due to the <br /> casing damage,a Cast Iron Bridge Plug could not be set in the well Therefore cement plugs were pumped through the open ended tubing to plug as <br /> much of the well as possible All cement plugs were set using balance method and consisted of Portland Type IIN cement Plug 1 was pumped at 1781 <br /> feet(can get no deeper than 1785 feet)and consisted of 4 5 cu yds(94.5 sks)with High Early accelerant and Barolift LCM. Plug 1 was allowed 17 hours <br /> to set,then top of cement was tagged at 1775 feet(10 feet of lift). Plug 2 was pumped at 1770 feet and consisted of 4.5 cu yds(94.5 sks)with High Early <br /> accelerant and Barolift LCM. Plug 2 was allowed 7 hours of set time,then top of cement was tagged at 1772 feet(3 feet of lift). Plug 3 was pumped from <br /> a depth of 1755 feet and consisted of 4.5 cu yds(94.5 sks)with High Early accelerant and Barolift LCM. Plug 3 was allowed 17 hours set time,then top of <br /> cement was tagged at a depth of 1747 feet(25'of lift). Plug 4 was pumped from a depth of 1689 feet and consisted of 4.5 cu yds(94 5 sks)of cement <br /> with High Early accelerant and 2 packages of LCM fiber. Fluid returns to surface after Plug 4 indicating hole had been plugged. Plug 4 was allowed 6 <br /> days of set time(rig moved to another job),then top of cement was tagged at a depth of 1301 feet Plug 5 was pumped from a depth of 1295 feet and <br /> consisted of 7 5 cu yds of cement(157.5 sks)with High Early accelerant. Fluid returns to surface through entire job. Plug 5 was allowed 6 hours set time <br /> and top of cement was tagged at 583 feet. Plug 6 was pumped at a depth of 549 feet and consisted of 6.0 cu yds(126 sks)of cement with High Early <br /> accelerant Plug 6 reached surface and eventually fell back to 32 feet below GL The well was dug out and casing cut off 3 feet below GL and topped off <br /> with 0.313 cu yds(6.62 sks)of Portland IIN cement on 6/512019. A plugged and abandoned hole marker was installed per the Natural Soda UIC permit. <br /> The calculated volume of the 2175'of 7.625"casing is 21.3 cu yds(576 1 cu ft),a total of 31.3 cu yds(845.1 cu ft)of cement,46.9%excess,was used to <br /> plug and abandon the 8H-RI. <br /> 14 1 hereby certif;that the foregoing is true and correct Name(Prinied,Tj ped) <br /> A.t^ Title <br /> Signature i Date .� <br /> THE SPACE FOR FEDERAL OR STATE ONCE USE <br /> Approved by <br /> Title Date <br /> Conditions of approval.if am.are attached Approval of this notice does not warrant or <br /> certify that the applicant holds legal or equitable title to those rights in the subject lease Office <br /> which would entitle the applicant to conduct operations thereon. <br /> Title 18 U S C Section 1001 and Title 43 U.S C Section 1212,make it a crime for any person knowing])and willfully to make to any department or agency of the United States <br /> any false fictitious or fraudulent statements or representations as to any matter within its jurisdiction <br /> (Instructions on page 2) <br />