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28b. Production-Interval C <br /> Date First Test Date Hours Test Oil Gas Water Oil Gravity Gas Production Method <br /> Produced Tested Production BBL MCF BBL Corr API. Gravity <br /> t.40- <br /> Choke Tbg.Press Csg. 24 Hr. Oil Gas Water Gas/Oil Well Status <br /> Size Flwg. Press Rate BBL MCF BBL Ratio <br /> SI <br /> 28c. Production-Interval D <br /> Date First Test Date Hours Test Oil Gas Water Oil Gravity Gas Production Method <br /> Produced Tested Production BBL MCF BBL Corr.API. Gravity <br /> tttttrttt0- <br /> Choke Tbg.Press. Csg. 24 Hr. Oil Gas Water Gas/Oil Well Status <br /> Size Flwg. Press. Rate BBL MCF BBL Ratio <br /> SI �. <br /> 29. Disposition of Gas(Solid used for fuel,vented,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 dril I-stem tests, <br /> including depth interval tested,cushion used,time tool open,flowing and shut-in pressures and <br /> recoveries. <br /> Formation Top Bottom Descriptions,Contents,etc. Name Top <br /> Meas.Depth <br /> Uintah 0 1259 Massive sandstone with marlstone intertounges <br /> Parachute Crk 1259 nd Oil shale and marlstone <br /> (Green River F.) <br /> 32. Additional remarks(include plugging procedure). <br /> 4.5 inch casing annulus topped off with 21 sacks(202 gallons)of Portland Type 1/11 on 12/21/2022. <br /> 33. Indicate which items have been attached by placing a check in the appropriate boxes: <br /> m Electrical/Mechanical Logs(I full set req'd) ❑Geologic Repon ❑DST Repon ❑Directional Survey <br /> ❑Sundry Notice for plugging and cement venfication ❑Core Analysis ❑Other. <br /> 34. 1 hereby certify that the foregoing and attached information is complete and correct as determined from all available records(see attached instructions)' <br /> Name(please print) Gerald J Da Title President <br /> Signature Date 2 O Z,3 <br /> Title 18 U.S C.Section 1001 and Title 43 U.S C.Section 1212,make it a crime for any person kno ugly and willfully to make to any department or agency of the United States any <br /> false,fictitious or fraudulent statements or representations as to any matter Within its jurisdiction. <br /> (Continued on page 3) (Form 3160-4,page 2) <br />