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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 Unit 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 />SW'/e of NW '/. of SW '/. Section 26 Townshi 1S Ran a 98W <br /> rr Locate Well in two directions from nearest lines of quarter section and drilling unit <br /> I I I I I I Surface Location 2716.5 ft. from (N/5) N Line of quarter section <br />d 3 <br />f <br />li <br />k <br /> An <br />rom (E/W) E <br />ne of uarter section <br />167 <br />. <br />_ I I I I I I Describe in detail the manner in which the fluid was placed and the <br />_ I I I I I I T <br />e of Permit method used in introducing it into the hole. <br /> yp <br />W <br />- E ^ Individual Well Number WELL # 93-3V <br /> <br />- ~, <br />® <br /> Area <br /> <br /> Number of Wells <br /> i l l l$ I I I I 1 CLASS III <br /> Casing and Tubing Record aker Plugging Well Activity Method of Emplacement of Cement Plugs <br />Size Wt (Lb/k) Put in Well (ft) Left in Well (ft) Mole Size <br />13-3/8 54# 91 ft 91 ft 16 inch ^ Brine Disposal ^ The Balance Method <br />h <br />d R <br />D <br />B <br />il <br />M <br />th <br />d <br />^ Th <br />^ E <br />9-S/8 40# 1942 ft 1942 ft 1 2-1 /4 n <br />ance <br />ecovery <br />e <br />ump <br />a <br />er <br />e <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 19 une 29, 2005 <br /> <br />Size of Hole or Pi a in which Plu Placetl (inches) 9-5/8 in 9-5/8 <br />In 9-5/8 <br />In 9-5/8 IN 9-5/8 in <br />De th to Bottom of Tubin of Drill Pi a (ft.) 1 890 1 200 1 16$ <br />Sacks of Cement Used (each lu) CIBP 1 50 CIBP 190 300 <br />Slur volume Pum ed (cu. ft. ) 1 73 351 555 <br />Calculated To of PID (ea 1520 ft surface surface <br />Measured To of Plu (if to ed k.) 1920 ft 1 500 ft 1200 surface surface <br />Slur W[. (Lb./GaIJ 1 5.8# 12.8# 1 2.6# <br />T CCmment CIBP Class G CIBP CId55 G CId55 G <br />List all O en Hole and/or Perforated Intervals <br />From To From To <br /> <br /> <br /> <br /> <br /> <br />Signature of Cem ter or Authorized Repre entative Signature of EPA Representative <br />CERTIFICATION <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 (P/ease type or print) <br />~~ Rodney A. Storey <br />Well field Supervisor Signature <br /> <br />/f Date Signed <br />28June 29, 2005 <br />