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Form 3160-5 UNIT® STATES FoBM neFROVm <br />(June 1990) DEPARTM1TiT OF THE INTERIOR Budget Bumau Nn 10040135 <br /> Fx use Much 31, 19Ri <br />BUREAU OF LAND MANAGEMENT s. taaae Deaigaa0on andsend Nn <br /> Yankee Gulch CO-]18378 <br />SUNDRY NOTICES AND REPORTS ON WELLS <br />tAr not use this form for proposals to drill or to deepen or reentry to a different reservoir. 6 tt hd~.", puwr«e wT.;b~ t+aue <br />Use "APPLICATTON FOR PERMIT-" for such N/A <br />SUBMIT IN TRIPLICATE ~. u uw orcn, ng~rt o~ae~a <br /> A <br />1. Type of Web s. wralJmieeM Nn <br />^ Oil Well ^ Gas Well ®Other Nahcolite Solution Minin American Soda LLP 29-20 <br />2 Name of Operator s. nn weu Nw <br />American Soda, L.LP. <br />3. Address and Telephone No. la e:e]d ~ Puat or expbeatury t+rea <br />2717 Ct . Rd. 215 Pazachute, CO 51635 970 285(x5W Central Piceance Creek Basin <br />4. Location of Well (Footage, Sec., T., R., M., or Survey Description) 11. Coimly or Parislti Seale <br />B 14,88:7.38 N 12,869.28 NB Ya of NB r/a of Section 29, TIS, R97W 6u P.M. Rio Blanco, CO <br />12. CHECK APPROPRIATE BOX(s) TO INDICATE NATURE OF NOTICE, REPORT OR OTHER DATA <br />TYPE OF SUBMISSION TYPE OF ACTION <br />^ Notice of Intent O Abandonment ~ Change of Plans <br /> ^ Remmpletion ^ New Construction <br />®Subsequent Reports ^ Plugging Back ^ Neur-Rwthee Fracturing <br /> ^ Casing Repay ^ Water Shut-0tt <br />^ Final Abandonment Notice ^ Altering Casing ^ Conversion to Injection <br /> X Other. Long Term Standby ^ Dispose Wale: <br /> Wave s.poa.®mmuatapt®pemmwm <br />.ate u..aameam.ara~ra. rJrc <br />This well is scheduled for long term standby. B economics mlprove, this weB could be brought bade into production. <br />WeB 29-20 dissolution surface at 1540'. <br />7/22/2004 Rig up Key Energy on well. <br />7/23/2004 full 2270' (all) of 4 e/i' long string, Set ost iron bridge plug in T' long string rasing at 1751'. Upon attempting to depressurize T' <br />Tong string casing, pressure would not bleed. Set cast iron bridge plug in T' long string casrteg at 1590'. T' long string casing bleed down <br />successfully. Pub 2121' (aB) of 4 Yz" x 2 7/8" combrttation short string. Set ost iron bridge plug ®1590'. Rig down Key Energy. <br />The unsuccessful depressurisation of the long 7^ casing with a bridge plug set at 1751' and a succcssfvl depressurisation of the long 7" with a <br />bridge plug set at 1590' indiotes: <br />1. Passible 7" long string casing problem below 1590' <br />2. Possible bridge plug seating problem at 1751'. <br />14. I hereby certify that the foregoing is true and mrrccti. <br />Signed <br />(This seam for Federal or State offire use) <br />Approved by <br />Conditions of approval, if any: <br />Picranm Operations Manager Date AUl;ust 12 2004 <br />Title 1S US.G Section 1007, makes it a crmre for any person knowingly and willfully to make to any departm®tt or agerery of the United <br />States any false, fictitious or fraudulent statements or representations ae to any matter within its jurisdichion. <br />See Instmction on Reverse Side <br />