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Form 3160-5 UNITED STATES FORM APPROVED <br /> (June 2015) OMB No. 1004-0137 <br /> DEPARTMENT OF THE INTERIOR Expires:January 31,2018 <br /> BUREAU OF LAND MANAGEMENT 5.Lease Serial No. COC-0118327 <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 /> 8.Well Name and No. <br /> ❑Oil Well ❑ Gas Well ©Other MMC-IRI-8 <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 <br /> 4.Location of Well(Footage,Sec., T.,R.,M.,or Survey Description) 11.Country or Parish,State <br /> 580 FSL, 1230 FEL,S23,T1S,R98W,6th PM Rio Blanco County,CO <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 ❑Acidize ❑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 involved operations.If the operation results in a multiple completion or recompletion in a new interval,a Form 3160-4 must be filed once testing has been <br /> completed.Final Abandonment Notices must be filed only after all requirements,including reclamation,have been completed and the operator has determined that the site <br /> is ready for final inspection.) <br /> All depths referenced to GL.The MMC-IRI-8 well reached the end of its useful life and has been plugged and abandoned.A 3.875"bit was tripped into the <br /> well to a depth of 488'.The 4.5"casing was perforated at depths of 75',and 150'.Each perforation interval consists of four 0.38"holes at 90 degree <br /> phasing and with 20.5"of penetration.The cement plug was set using the balance method.The cement plug consisted of 26.4 bbls(115.5 sks)of 14.5 <br /> lb/gal Portland Type 1/II LA cement and was pumped in three lifts,the first of 7.7 bbls from 475',the second of 14.2 bbls from 275',and the third lift of 3.5 <br /> bbls was pumped from 135'to surface.An additional 1 bbl was poured down the casing to fill the casing back to surface after the drill pipe was removed. <br /> The calculated volume of the plug interval(488'to surface)was 9.2 bbls(51.7 cu ft)which meant that 189%excess(17.2 bbls)cement was used to plug <br /> the open hole,cased and annular portions of the well.The well was dug out at surface and the casing was cut off 3 feet below GL.An additional 0.6 bbls <br /> (2 sks)of cement was used to top off the 4.5"casing annulus from 8'to surface. A steel cap with the well name was welded onto the 10.75"conductor <br /> casing and buried on 10/19/2021. For additional information please see attached As-Built Plug and Abandonment diagram. <br /> 14.I hereby certify that the foregoing is true and correct. Name(Printed/Typed) <br /> Gerald J.Daub Title President/Daub&Associates Inc. <br /> Signature , Date �41 <br /> THE SPACE FOR FEDERAL OK STATE OFICE USE <br /> Approved by <br /> Title Date <br /> ------------------------------------------------------------------------ <br /> Conditions of approval,if any,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.0 Section 1001 and Title 43 U.S.0 Section 1212,make it a crime for any person knowingly 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 />