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Form 31605 UN1T®STATES FORM tireR~vm <br />Qune 1990) DEPARTMENT OF THEINTERIOR avaget s~arv Naraoam3s <br /> Ea ims MertA 31, 1943 <br />BUREAU OF LAND MANAGEMENT s. (:aw Da~gnwon w sain(Na <br /> Yanka Gulch CO.118325 <br />SUNDRY NOTICES AND REPORTS ON WELLS <br />Do not use this form for proposals [o drill or to deepen or reentry to a different teservou. s iF tm~.n, Alldeeeo.TMe Name <br />Use "APPLICATION FOR PIIiM1T-" for such m 1wA <br />_ <br />SUBMIT IN TRIPLICATE ]. if UMwCA, Ag~em~ca Designation <br /> N A <br />1. Type of WeB a weu NameaM Na <br />^ Oil Well ^ Gas Well fig Other Nahcolilx Solution Minim American Soda LLP 2436 <br />2 Name of Operator 9. AP( Wall Na <br />American Soda, GLP. <br />3. Address and Telephone No. ra Flda and eat or epteruoy nre. <br />2717 . Rd. 215 Parachute, CO 51635 970 2BS6.500 Central P3ceance Creek Basin <br />4. Location of Well (Footage, Sec., T., R., M., or Survey Description) u. cawy o<ra~bti, srxe <br />B 11,.197.44 N 13,704.50 SWr/i of SWrh of Sectlan 20, TLS, R97W ba P.M. Rio Blanca CO <br />^ Notice of Intent <br />®Subseyuent Reports <br />^ Final Abandonment Notice <br />^ Abandonment <br />^ Remmpletion <br />^ Piuggnrg Back <br />^ Casing Repau <br />^ Altering Casing <br />X Other. Long Term Standby <br />^ Change of Plans <br />^ New Construction <br />^ NortRoutbte Fracturing <br />^ Water Shut-0ff <br />^ Conversion to Injection <br />^ Dispose Water <br />(Nast Repert,venmmvteile®pmmmwm <br />TYPE OF SUBMISSION <br />INDICATE NATURE OF NC <br />13. D~eNSre,.dmC~P~aPeeibn/~1wh WpebemtaaW ad pve p+mm ae lvdu~6auwCaaeds~6MP°P~~atl~a~Abd~•a~eE. pres4wmfrebrKbn <br />ma mmmee as1 ux mm'tl depeb br aY m W ma me mvn pvlme m tM .nkY <br />This well is scheduled for long term standby. U economics improve, this well could be brought back into production. <br />Wet12fY%dissolution surface at 1721'. <br />8/31/2004 Rig up Key Energy on weB. Pull 2537' (all) of 4 yi' long strhtg. Set cast iron bridge plug in 7" tang string casing at 1785'. <br />9/1 /2004 Cut 4'h" short string at 1800'. Pull 1800' of 9 k" short string. Set cast iron bridge plug in 7" short string at 1785'. Rig down Key <br />Energy. <br />14. [hereby certify that the foregoing is true and concct. <br />Signed Max Ramey 1 \ I~LIit1e Piceance (loerations Manager Date September 7, 2004 <br />(This space for Federal or State office use) <br />Approved by <br />Conditions of approval, if any: <br />Title 18 US.C. Section 1001, makes it a crime (or any person knowingly and willfully [o make [o any department or agetrcy of the United <br />State any false, fictitious or fraudulent statements or representations as to any matter within its jurisdiction. <br />'See Instruction on Reverse Side <br />