HYDRO24576

• Permit No: M1999002
• IBM Index Class Name: Hydrology
• Doc Date: 9/20/2004
• Doc Name: Well Completion Reports
• From: American Soda L.L.P.
• To: DMG
• Media Type: D
• Archive: No

Form 316115 UNITED STATES FORM APPROVED
Qune ]990) DEPARTMINT OF THE INTERIOR aeaga eare'a Nw ttnsm35
~ ims Much 31, 1993
BUREAU OF LAND MANAGEMENT s. Iewre DIE^^Ip^ and setil Nw
Yankee Gulch CO-118328
SUNDRY NOTICES AND REPORTS ON WELLS
Do not use this form for proposals to drill or to deepen or reentry to a different reservoir. s a I.dlen nrbaee or 7'rbe Name
Use "APPLICATION FOR PERMIT--" for such ro N/A

SUBMIT IN TRIPLICATE 7. 0 Uitit or CA, A~em~mt ~'6'°b°^
N A
1. Type of WeB 8 WeE Name ud No-
^ Oil Well ^ Gas Well ®Other Nahcolite Solution Minin American Soda LLP X19
2 Name of Operator 9. API Well No-
American Soda, L.LP.
3. Address and Telephone No. ro. Fie61 e.d Paol, orExpbretory Are.
2717 C . Rd. 215 Parachute, CO 81635 970 7BS6500 Central Piceance Creek Basin
4. Location of Well (Footage, Sec., T., R., M., m Survey Description) rr. cA...ay. or Perieh,5tale
E 74558.19 N 13354.35 SE Ye of SE Yi of Section 20, TIS, R97W 6~ P.M. Rio Blanco, CO
REPORT OR OTHER DATA
TYPE OF SUBMLSSION ~ 7YPE OF ACTION
^ Notice of Intent
®Subsequenl Reports
^ Final Abandonment Notice
^ Abandonment
^ Remmpletion
^ Plugging Back
^ Casing Repair
^ Altering Casing
X Other. Long Term Standby
^ Change of Plans
^ New Constr¢ction
^ Non-Routine Fracturing
^ Water Shut-0ff
^ Conversion to Injection
^ Dispose Water
(wm R~~wmmewp~.~plemmw.a
>3. oQmen^P~m~®P~aoam~+Imaf ~+aP"^~^~~'.me9`TP~a+a~s•~m,ma mmce++wamrww~~ut a..nemmem.q ado..a. MTamaem m,m.
mammo emae~.a.urlaRm,tQmm.amad~pvtamtmah.otY
This well is scheduled for long term standby. If emnomi~ improve, this well could be brought bade into production.
WeB 20-19 dissolution surface at 1465'.
7/24/2004 Rig up Key Energy on well and nipple down wellhead .
7/26/2004 Pull 2204' (aB) of 4 'h" long string. Set last iron bridge plug at 1515' on Zang T' casing. Pull 1816' (all) of 4 yz" short string. Set
cast iron bridge plug at 1515 on short T' rasing. Rig down Key Energy and move to next lootion.
14. 1 hereby rertify that the foregoing is [me and mnect.
Signed Max Ramey \ \ _ ~ TiOe Piceanm Operations Manager [}ate August 12, 2004
(This space [or Federal or State offire use)
Conditions of approval, if any:
Title 18 US.C. Section 1001, makes it a crime for any person knowingly and willfully to make to any department or agency of the United
States any false, fictitious or fraudulent statements or representations as to any neatter within its jurisdiction.
'See hrstmction on Reverse Side