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Form 3160-4 <br /> (June 2019) UNITED STATUS <br /> DEPARTMENT OF THE INTERIOR FORM APPROVED <br /> I` <br /> 1 3 <br /> OMB NO 004-0137 <br /> BUREAU OF LAND MANAGEMENT Expires October 31 2021 <br /> WELL COMPLETION OR RECOMPLETION REPORT AND LOG 5 Lease Serial No <br /> C-0118327 <br /> la Type of Well ❑Oil Well ❑Gas Well ❑Dr) ®Other 6 If Indian Allotice or Tribe Name <br /> b Type of Competion ® feu Well ❑Work Off er ❑Deepen ❑Plug Back ❑DifT Zonea ❑H\drauhc Fractunng <br /> Other Groundwater monitoring well 7 Unit or CA Agreement Name and No <br /> 2 Name of Operator 8 Lease Name and%Ale l No <br /> Natural Soda LLC PA-1 <br /> 3 Address 3a Phone No (hichide area code) 9 API Well No <br /> 3200 Rio Blanco County Road 31,Rifle CO,81650 (970)878-3674 <br /> 4 Location of Well(Repot i location clearli and in accordance it nh Federal requirements)* 10 Field and Pool or Exploratory <br /> NAD 83 Lat.39.927639 <br /> At surface Long:-108 375175 I 1 Sec-T,R,M,on Block and <br /> Survey or Area 27,T1S,R98W <br /> At top prod interval reported Belo" 12 County or Parish 13 State <br /> At total depth Rio Blanco CO <br /> 14 Date Spudded 15 Date T.D Reached 16 Date Completed 08/30/2021 17 Elevations(DF,RKB,RT.GI.)* <br /> 08/17/2021 08/21/2021 ❑D&A ❑Read)to Prod 1 6618 8 GL <br /> 18 Total Depth MD 435.0 19 Plug Back l D MD 20 Depth Bridge Plug Set MD <br /> TVD I TVD TVD <br /> 21 Type Electric&Other Mechanical Logs Run(Submit copy of each) 22 Was xNell cored'? ®No ❑Yes(Submit analysts) <br /> CBL Was DST run" ©No ❑Yee(Submit report) <br /> Directional Survey" m No ❑Yes(Submit copy) <br /> 23 Causingand Liner Record Re ort all stnn s set in well <br /> Hole Size SWIGrade Wt (trft) Top(MD) Bottoin(MD) Stage Cementer No ofSks& Sill <br /> rry Cement Top* Amount Pulled <br /> Depth lypc of Cement (BBI 1 <br /> 9.875 7.625/J55 26.4 0.0 1350 20 sx Portland II 5.2 0.0 0 <br /> 675 4.5/J55 11.6 0.0 380.0 62 sx Type 111 222 3 0 <br /> 3 875 na 385.0 435.0 na <br /> 24 Tubing Record <br /> Size De t Set(MD) Packer Dept(MD) Size Depth Set(MD) Packer De th(MU) Size Dc th Set(MU) Packer Depth(\1U) <br /> 25 Producing Intervals 26 Perforation Record <br /> Fomiahon Top Bottoin Perforated InterNat Size No Holes Perf Status <br /> A) <br /> B) <br /> C) <br /> D) <br /> 27 Acid Fracture Treatment.Cement Squeeze,Post h draulic fracturing chemical disclosures on FracFocus ory when required by state or federal regulation <br /> Depth Intm at Amount,Type of 4laterial and Date of Cheitncaf Disclosure upload on FracFocuh org as applicable <br /> 28 Production-Interval A <br /> Date First Test Date Hours Test Oil Gas Wdtcr Oil Gravity Gas Production Method <br /> Produced Tested Production BBL MCF BBL Corr API Gravrh <br /> Choke lbg PreSS C•Sg 24 fir Oil Gas Water Gas/Oil Well Status <br /> Size Flyvg Presh Rate BBL MCI BBI Ratio <br /> SI <br /> 28a Production-Interval B <br /> Date First lest Date Hours lest Oil Gas Water Oil GraN itN Gas Production Method <br /> Produced tested Production BI3L MCI BBI. Corr AM Gravm' <br /> Choke Thg Press Csg 24 Hr Oil Gas Water Gas/Oil NVell Statue <br /> Size I tyre Press Rate BBL MCI BBL Ratio <br /> SI <br /> *(Sec instructions and spaces for additional data on page 2) <br />