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Form 31CAS UNCFID STATES PonM nPPaoveo <br />Qune 1990) DEPARTMENT OF THEINTERIOR ewget aa~.,, Na looamas <br />' <br /> Mesh 31, 19Sn <br />Ps <br />BUREAU OF LAND MANAGEMENT s. te..e DaiyWionerol5•aidNa <br /> Yanlree Gulch 00.118328 <br />SUNDRY NOTICES AND REPORTS ON WELLS <br />Do not use this form for proposals to drill or to deepen or reentry to a different reservoir. s. u tnaien, Aaonee orT.are Name <br />Use"APPllCATiON FOR PERMIT-" for such s NJA <br />SUBMIT IN TRIP[1CATE ~. allmlwCA, ngremxm Dawn <br /> A <br />1. Type of Well & wea N.me ud Na <br />^ Oil Well ^ Gas Well f81 Other Nahcolibe Solution Minin American Soda LLP 21133 <br />2 Name of Operator 9. API Wea Na <br />Aetedcan Soda, LLP. <br />3. Address and Telephone No. to Pield ud Pow, w Fxplorermy A.ee <br />2717 . Rd. 215 Parachute, CO 81635 970 Z8.5~6500 Central Piceance Creek Basin <br />4. Location of Well (Footage, Sec., T., R., M., or Survey IJasctiphon) 12. Coveayw PerM, State <br />E 12,163.03 N 13,238.53 SE'/i of SWYi of Section 20, TIS, R97W 6t* P.M. Rio Blanco, CO <br />12 CHECK APPROPRIATE BOX(s) TO INDICATE NATURE OF NOTICE, REPORT OR OTHII{ DATA <br />~ Nonce of Intent <br />®Subsequent Reports <br />^ Final Abandonment NoNCe <br />^ Abandonment <br />^ Recompletion <br />^ Plugging Back <br />^ Casing Repair <br />^ Altering Casing <br />X Other. Long Term Standby <br />^ Change of Plans <br />^ New Construction <br />^ Non-Routhre Fracturing <br />^ Water Shut-0ff <br />^ Conversion to Injection <br />^ Dispose Water <br />(thee Pepmemaxsmmwupaeampkmm®WeH <br />u. o..me.nwe.e^e.c®pewoP~~olam..m~emp..mm.eewi..>oes.ee~•em ~es.offiaam w..trsmr ww.en..a~u..nsmem®.or am.n, 9,*4n.~r Mme. <br />mlm.euaNmueve.ev~W e:pm.er+ttm.rtmmfm paeismemmr.cd:Y <br />Thin well is scheduled for long term standby. If economic improve, this well mold be brought back btto production. <br />h Well 20.33 dissolution surface at 1642'. <br />9/2/2004 Rig up Key Energy on well. PuB 2480' (all) of 4'/i' long string. Set cast iron bridge plug m 7" long string casing at 1700'. <br />Pull 2070' (all) of 4 Yz' short string. Set cast iron bridge plug in 7" short string at 1790'. Rig down Key Energy. <br />14. 1 hereby certify that the fozegoinp~ tme and mrrcct. <br />Signed <br />(This space for Federal or State office use) <br />Approved by <br />Conditions o[ approval, if any: <br />SeRtember 7, 2004 <br />Title IS US.C. Section 1001, makes it a mme for any person knowingly and willfully to make to any department or agency of the United <br />Slates any false, fictitious or fraudulent statements or representations as to any matter within its jurisdiction. <br />'See Inatnlction on Reverse Side <br />