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*ccc raRm 4 OIL AND GAS CONSERVATION COMMISSION JAN 10 1980 <br /> DEPARTMENT OF NATURAL RESOURCES <br /> REV, 7-64 OF THE STATE OF COLORADO <br /> File in duplicate for Patented and Federal lands. s. wAsm DRataNArloN ABD mntAL No. <br /> File in triplicate for State lands. <br /> SUNDRY NOTICES AND REPORTS ON WELLS 6. IP INS 011I l(Do not use thla form forpapposala to drill or to deepen or plus back to a dlRerest reserrolr. <br /> Use'•APPLICATION FOR PERMIT—" for aueh Dropoesla.) <br /> i # <br /> 1. T. UNIT Ae1133INs11T NAME <br /> OIL ® CAB Q <br /> WSLL WELL OTHiR <br /> $. NAYS OP OPSaATOR S. FARM OR LRASR NAars <br /> J.R. Drilling & Exploration Company, Inc._ _ Ro <br /> S. ADDRRBa OD OPsaATOm 9. VSLL NO. <br /> 5 Clocktower Square - Suite #252, Aurora, Colorado 80011 1 <br /> 4, LOCATION OP WELL (Report location clearly and 1n secerdance with any Stste r"Diremeats, 10. FISLD AND PODL, Oa WILDCAT <br /> ats 1rface ace 1980- FNL, 1980' FEL (CSW aNE o) Em i f <br /> At proposed prod. some Same 11. sac., s.,OR sr.,oa MILK.AND <br /> m[IlT!= 1!!A <br /> S — — W_ <br /> 14. PRastiT No. 15. RUMArtoxs (SNOW whathar 07,21.oa,at0.) I4• COUNVT Is. #MATS <br /> 79-1230 1 4642' K.B. Weld Colorado <br /> 16. Check Appropriate Boa to Indicate Nature of Notice, Report, or Other Data <br /> NOTICE of INTENTION TO: sOmtsqus"T RUPOR1r OF: <br /> TLBT WATRA BRUT-O" PULL 01 ALTZI CASING WATn 1113112-0FP REPAIRING WELL <br /> FIACTUBR TaEAT MULTIPLIt COMPLIT! FIACTU!! TRvATYIit'r ALTSOING CASINO <br /> BAOOT OR ACIDrLE ABANDON SHOOTING OR ACIDItiNG ASANttONNlNT <br /> REPAIR WELL CHAN62 PLANS (Other) <br /> (ether) (NoTs: Report results of multlpls completion on Well <br /> _ Completion or Recomp(ettoa Report and Los form.) <br /> 17. UNSCHIDE P110110381)OB COMPLSTSo OPSIIATIONS (Cleat'))'State all prrtlaeur detalla, and sire pertinent dates. Including estlmated date of starting <br /> proposed work. If well is directionally drilled, live subaarface IDsstiuns and measured and true vertical depths for all markers amd cones pe <br /> fume to this work.) <br /> Date of work 12/17170 <br /> Set permanent bridge plug at 6500' . RJR <br /> Placed 20 sacks of cement at bottom of surface pipe. rye <br /> Placed 10 sacks of cement at top of surface pipe. r <br /> Cut off surface pipe 3' below ground and welded a metal cap on. JAUA <br /> jjD <br /> RtS <br /> L:QItA <br /> ♦Ar <br /> 18. I hereby certify that the f�oresolafsinisn true <br /> -and correct <br /> SIGNED ��yt ' TTTLE Vise -Ereside-nt DATE <br /> (This apace for Federal State o ~k) <br /> dG con Coc+;; JAN 2 9 1980 <br /> APPROVED BY TITLE DATE <br /> `� CONAITION3 O PR VdL. d J <br />