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<br /> <br />EPA UNITED STATES ENVIRONMENTAL PROTECTION ALENCV <br />WASHINGTON DC 20450 <br />PLUGGING RECORD <br />NAME AND ADDRESS OF PERMITTEE <br />Natural Soda, Inc. 3200 RBC 31, Rifle, CO 61650 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 30368-00000 <br /> Surface location description <br />SW'/. of NW '/. of SW '/<Section 26 Townshi 1S Ran a 98W <br /> N 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/S) N Line of quarter section <br />A <br />d 3167 f <br />E <br />W <br />E li <br />f <br />f <br />i <br /> n <br />/ <br />) <br />ne o <br />uarter sect <br />t. <br />rom ( <br />on <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 e ^ Individual Well Number WELL # 93-3V <br />- <br />- ~, <br />® A <br /> rea <br /> Number of Wells <br />I I 13 1 1 1 1 1 CLA55 111 <br /> Casing and Tubing Record after Plugging Well Activity Method of Emplacement of Cement Plugs <br />Size Wt (Lb/k) Put in well (k) Left in Well (k) Hole Size <br />1 3-3/8 54# 91 ft 91 ft 16 inch ^ Brine Disposal ^ The Balance Method <br />h <br />d R <br />^ Th <br />D <br />B <br />il <br />M <br />th <br />d <br />^ E <br />9-5/8 40# 1942 ft 1942 ft 12-1 /4 n <br />ance <br />ecovery <br />e <br />er <br />e <br />o <br />ump <br />a <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 June 29 2005 <br /> <br />Size of Hole or Pi a in which Plu Placed (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.) 1890 1200 1 168 <br />Sacks of Cement used (each lu) CIBP 150 CIBP 190 300 <br />Slur VolumePum ed(cu.ft. ) 173 351 555 <br />Calculated To of Plu (ft.l 1520 ft surface surface <br />Measured To of Plu orta ed a.> 1920 ft 1 500 ft 1200 surface surface <br />Slur Wt.(Lb.Gal.) 15.8# 12.8# 12.$# <br />T eeement CIBP Class G CIBP Class G Class 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 I22.22). <br />Name and Official Title (Please type or print) <br />Rodney A. Storey <br />Well field Supervisor Signature Date Signed <br />28 June 29, 2005 <br />