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28b Production-Interval C <br /> Date First Test Date Hours Test Oil Gas Water Oil Grat ity Gas Production!Method <br /> Produced Tested Production BBI MCF BBL Corr API GravaN <br /> Choke Tbg Press Csg 24 fir Oil Gas Water Gas/Oil Well Status <br /> Size Flttg Press Rate BBL MCF BBL Ratio <br /> SI <br /> 28c Production-Interval D <br /> Date First Test Date Hours Test Oil Gas Water Oil Gratin Gas Production Method <br /> Produced Tested Production BBL MCF BBI. Corr API Gravity• <br /> Choke Tbg Press Csg 24 Hr Oil Gas Water Gas/011 Well Status <br /> Size Fhvg lPress Rate BBL MCF BBL Ratio <br /> Sl <br /> 29 Disposition of Gas(Solid.used for friel tented etc <br /> 30 Summary of Porous Zones(include Aquifers) 31 Formation(Log)Markers <br /> Show all important zones of porosity and contents thereof Cored intervals and all drill-stem tests. <br /> including depth interval tested,cushion used,time tool open,flowing and shut-in pressures and <br /> recoveries <br /> Top <br /> Formation Top Bottom Descriptions.Contents.etc Name <br /> Meas Depth <br /> Uintah 0 435 Massive sandstone with marl intertoungues <br /> 32 Additional remarks(include plugging procedure) <br /> Following CBL and prior to drill out,the intermediate annulus was topped off with Portland 11 cement to surface. <br /> 33 indicate which items ha%e been attached by placing a check in the appropriate boxes <br /> 6lecmcal Mechanical Logs(I fiill set req'd i ❑Geologic Repon DST Report Directional Sun e% <br /> ij Sundi)Notice tot pluggmg and cmcnt Nenficetion Cute Anal%ai. Other <br /> 34 1 hereby certi6 that the foregoing and attached information is complete and correct as determined from all available records(see attached instructions)* <br /> Name(please piulr) Gerald J Daub -l'ipe President <br /> Signature Date I Zt7Z <br /> Title 18 U S C Section 100I and Ti le 43 U S C Section 1212,make u a crime for am person knomnngly and A,illftill\to make to any department or agency of the United State.ant <br /> Use fictitious of fraudulent statements or repiesentauons as to any mattei withm its jurisdiction <br /> (Continued on page 3) (Form 3160-4.page 2) <br />