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RAC S, LLC <br /> 22235 H75 Rd., Delta, CO 81416 (970) 874-7393 <br /> WELL ABANDONMENT REPORT <br /> Date 11-1-2021 <br /> Well Identification <br /> Owner Mountain Coal Company <br /> Well Number SS1-1 <br /> Well Location (township & range) <br /> (Lat/Long) <br /> County Gunnison State Colorado Elevation <br /> Existing Well Details <br /> Is a well drillers report available?E:::::�es Q o <br /> Nature of use & current status Methane Drainage Well/Shut In <br /> Hole Depth Feet Hole Diameter Inches <br /> Surface Casing type/ Wt. Steel / Size 14" Depth <br /> Intermediate Casing Type/ Wt. Steel /36# Size 9 5/8" Depth <br /> Completion Blank Casing Type/Wt Steel /23# Size 7" Depth From To <br /> Completion Perf casing Type/Wt Steel /23# Size 7" Depth From To <br /> Static Fluid Level Depth N/A Feet - Artesian Flow None GPM - Shut-In Pressure N/A PSI <br /> Notes casing crushed @ 105' <br /> Abandonment Details <br /> Reason for Abandonment No Longer needed <br /> Bridge Plug type 9 5/8"RTJP <br /> TD of well or Bridge Plug Depth 105' Feet <br /> Total fluid volume of well from TD or Bridge Plug 341 Gallons <br /> Total volume of fluid used 618 Gallons <br /> Method of sealing material placement through 2 3/8 tubing <br /> Casing cut to 3' Ft. below surface P&A Marker type None <br /> Date of Abandonment Completion 9-25-2021 <br /> Dept (Feet) Quantity Density <br /> From To Material Used Gal. /CuFt. / Sks. Lbs./Gal. <br /> 104' 105' 9 5/8"Rubber Top Job Plug <br /> 105' 128' Bentonite Chips 79 / 10.5 / 15 <br /> 128' 102' Type 1-II Cement 176 / 23.6 / 20 15.6 PPG <br /> 102' 25' MI Super Plug 301 / 40 / 7 <br /> 25' 4' Type 1-11 Cement 62 / 8.3 / 7 15.6 PPG <br /> Notes <br /> * All depths are from top of surface casing <br />