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Form 3160-5 UNITED STATES <br />(September 2001) DEPARTMENT OF THE INTERIOR <br />BUREAU OF LAND MANAGEMENT <br />SUNDRY NOTICES AND REPORTS ON WELLS <br />Do not use this /orm for proposals to drill or to re-enter an abandoned well. <br />Use Form 3160 - 3 (APD) for such proposals. <br />FORM APPROVED OM B No. 1004-0135 <br />Expires: January 31, 2004 <br />SUBMIT IN TRIPLICATE-Other instructions on reverse side. <br />1. Type of Well <br />Oil Well Gas Well Other R Sodium Bicarbonate <br />Solution mining well <br />Name <br />3a. 3200 County Road 31, Rifle Colorado 81650 <br />t-ocaaon or weu (rootage, sec., t., rc., m., or <br />2716 FNL, 3168 FEL, SEC 26 T1S R98W <br />TYPE OF SUBMISSION <br />^ Notice of Intent <br />® Subsequent Report <br />^ Final Abandonment <br />Notice <br />area <br />TYPE OF ACTION <br />5. Lease Serial No. <br />Sodium lease C- <br />0118327 <br />6. If Indian, Allottee or Tribe Name <br />EPA permit C030358-00000 <br />7. If Unit or CA/Agreement, Name <br />and/or No. <br />Natural Soda, Inc. <br />8. Well Name and No. <br />93-3V <br />9. API Well No. <br />10. Field and Pool, or Exploratory <br />Area <br />Boles-Bed /saline zone <br />11. County or Parish, State <br />Rio Blanco ,Colorado <br />^ Acidize ^ Deepen ^Production ^Water Shut-Off <br />^ Alter Casing ^ Fracture Treat (Stazt/Resume) ^Well Integrity <br />^ Casing Repair ^ New Construcfion ^Reclamafion ^Other <br />^ Change Plans ®Plug and Abandon ^Re-complete <br />^ Convert to ^Temporarily Abandon <br />Injection ^Water Disposal <br />13. Describe Proposed or Completed Opem[ion (clearly state all pertinent details, including estimated starting date of any proposed work and approximate <br />duration thereof. If the proposal is to deepen directionally or rewomplete horizontally, give subsurface locations and measured and we vertical depths ofall <br />pertinent markers and zones. Attach the Bond under which the work will be performed or provide the Bond No. on fi]e with BLM/BIA. Required subsequent <br />reports shall be filed within 30 days following completion of the involved operations. If the operation results in a multiple completion or re-completion in a new <br />interval, a Form 3160-0 shall be filed once testing has been completed. Final Abandonment Notices shall be filed only after all requirements, including <br />reclamation, have been completed, and the operator has determined that the site is ready for final inspection.) <br />Rig up work over rig on well. <br />Set CIBP (cast iron bridge plug) @ 1920 feet..Run cement band log. Pump cement plug (15.8# Class G) from 1920 to 1500 feet inside 9-5/8 casing.. Tag top of <br />cement. Perforate 9-5/8 casing @ 1450 feet .No communication behind casing to surface. Re-perforate @ 1250 feet. Good communication for squeeze. Set pump <br />[hru CIBP @ 1200 feet. Establish circulation to surface. Circulate l90 sacks 12.8 # cement to surface. Pull tubing from cement retainer .Run tubing open ended <br />m t i68 ft. Pump 300 sacks 12.8 cement in welt to surface. Cement annulus from surface down until full. Install dry hole marker on well. Reclaim location as per <br />BLM requirements. <br />I4. I hereby certify that [he foregoing is true and coned <br />Name (Printed/Typed): Rodnqqev A Storev Title: WELL FIELD SUPERVISOR <br />Signature: -y~~rl K ~ Date 28 June 2005 <br />THIS SPACE FOR FEDERAL OR STATE OFFICE USE <br />Approved by: <br />Title: <br />Conditions of approval, if any, are attached. Approval of this notice does not warrantor <br />certify that the applicant holds legal or equitable title to those rights N the subject lease <br />which would entitle the applicant to conduct operations thereon. <br />code) 970-878-3674 <br />Office: <br />Date: <br />