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' <br /> <br />EPA UNITED STATES ENVIRONMENTAL PROTECTION AGENCY <br />WASHINGTON DC 20450 <br />PLUGGING RECORD <br />NAME AND ADDRESS OF PERMITTEE <br />Natural Soda, Inc. 3200 RBC 31, Rifle, CO 81650 NAME AND ADDRESS OF CEMENTING COMPANY <br />Big 4 Cementing, LLC. P.O. Box 1817, Vernal, Utah 84078 <br />Locate Well and Outline Uni[ on Section <br />Plat--640 Acres STATE <br />CO COUNTY <br />Rio Blanco PERMIT NUMBER <br />EPA CO 30358-00000 <br /> Surface location description <br />SE'/. of NW '/. of SW '/. Section 26 Townshi 1S Ran a 98W <br /> ro Locate Well in two directions from nearest lines of quarter section and drilling unit <br /> I I I I I I Surface Location 1458 ft. from (N/S) S Line of quarter section <br />d <br />67 f <br />f <br />l <br />f <br /> An <br />11 <br />rom (E/W) W <br />ine o <br />uarter settion <br />t. <br /> I I I I I I Describe in detail the manner in which the fluid was placed and the <br />_ 1 I I I I I T <br />e of Permit method used in introducing it into the hole. <br /> yp <br />w e ll N <br />b <br />WELL # 4A <br />2V <br />W <br /> ^ Individual e <br />um <br />er <br />- <br />- ® A <br /> rea <br /> Number of Wells <br />I I I S I I I I 1 CLA55111 <br /> Casing and Tubing Record after Plugging Well Activity Method of Emplacement of Cement Plugs <br />Size Wt (Lb/h1 Put in Well (Po Left in Well (k) Hole Size <br />13-3/8 54# 91 ft 91 ft 16 inch ^ Brine Disposal ^ The Balance Method <br />d R <br />^ Th <br />D <br />il <br />M <br />h <br />h <br />B <br />d <br />^ E <br />9-5/8 40# 1968 ft 1968 ft 1 2-1 4 <br />/ ance <br />ecovery <br />ump <br />er <br />et <br />n <br />e <br />a <br />o <br />® Brine Injection ®The Two-Plug Method <br /> <br /> Lease Name Natural Soda, Inc. Well Number Well 4-3H <br />Cementin to Plu and Abandon Data: Plu #1 Plu #2 Plu #3 Plu #4 Plu #5 Plu #6 Plu #7 <br />Cementin Date 21 une 29 2005 <br /> <br />Size of Hale or Pi a in which Plu Placed (inches) 9-5/8 in 9-5/8 <br />In 9-5/8 <br />In <br />De th to Bottom of Tubin of Drill Pi e (ft) 1 $9~ 1365 ^ <br />Sacks of Cement Used (each lu) CIBP 1 90 33 5 <br />Slur Volume Pum ed (cu. ft. ) 21 8 61 9 <br />Calculated TO of Plu (e.) 1400 ft surface <br />Measured To of Plu (if to ed ftJ 1920 ft 1365 ft surface <br />Slur Wt.(Lb./Gal.) 15.$# 12.6# <br />r eCement CIBP CIdSS G CIdSS G <br />List all O en Hole and/or Perforated Intervals <br />From To From To <br /> <br /> <br /> <br /> <br /> <br />Signature of Cementer or Authorized Representative Signature of EPA Representative <br />CE TIFICA ION <br />I certify under penalty of law that this document and all attachments were prepared under my direction or <br />supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate <br />the information submitted. Based on my inquiry of the person or persons who manage the system, or those <br />persons directly responsible for gathering the information, the information submitted is, to the best of my <br />knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting <br />false information, includin the ossibilit of fine and im risonment for knowin violation. (Re . 40 CFR 122.22). <br />Name and Official Title !Please type or print) <br />Rodney A. Storey <br />Well field Supervisor Signature ~cG//cam <br />~`~~/f~!/ ~<~~~~ <br />C Date Signed <br />28June 29, 2005 <br />