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

Fonn 3160-5 LINI1'ED STATES FottM At'eROV®
(June 1990)" DEPARTMENT OF THEINTERIOR sm~emr•.u N°tmsotn
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Ez
~ Much 31, 1993
BUREAU OF LAND MANAGEMENT ~s. 4m Daaign.tionmdsmw N°
SUNDRY NOTICES AND REPORTS ON WELLS Yankce Gukh CO-11g3?B
Do not use this form for proposals to drill or to deepen or reentry to a different reservoir. s. u h+a+.n. AlbaeeurTribe N~
_ Use"APPLICATION FOR PERMIT-" for such ro N/A
SUBMIT [N TRIPLICATE ]. Ir Una «CA, Agremrem D®ignetion
A
1. Type of Well & WellNmra uxl Na
^ Oil WeB ^ Gas Well ®Other Nahcolite Solution Minin American Soda LLP 20.74
2. Name of Operator 9. API Wea N°
American Soda, L.L.P.
3. Address and Telephone No. to Pkld and eaot«F.xpmcm«y nre.
2717 C . Rd. 215 ParachuM, CO 81635 970 2856500 Central Piceance Creek Basin
4. Location of Well (Footage, Sec., T., R., M., or Survey Desexiption) tt. cmuar «P.rmh51e1e
E 1 943.9 N 13,508.80 SE rA of SW Yi of Section 20, TIS, R97W 6® P.M. Rio Blanes, CO
12 CHECK APPROPRIATE BOX(s) TO INDICATE NATURE OF NOTICE, REPORT OR OTHER DATA
^ Notirn of Intent
®Subseeprent Reports
^ Final Abandonment Notice
~ Abandonment
^ Recompletion
^ Plugging Back
^ Casing Repair
O Altering Casing
X Other. Long Term Standby
^ Change of Plans
^ New Constmction
^ Noti-Routine Fracturing
^ Water Shut-0ff
^ Conversion to [rrjection
~ Dispose Water
(No2 ReportmelbmmvMplemmpYti®mWea
u. 0erGEe Pmpma mCmplaea Opmum lOemlr mm.a peuesa,m..:sap.e petiem ems omemsmamm deeed mews ®. pvpmd~wt a.w vdeenmaar aaoea s~re.nus.i:.lxmm
mtlmmmrtawJwe.meraepe.far,a mahmwdrmn pnurmmtlm.mtY
This well is scheduled for long term standby. tf economies improve, this well could be brought back into production.
~ We112474 dissolution surface at 1623'.
8/18/2004 Rig up Key Energy an well and pulled 2430' (all) of 4 y:" long string. Set cast iron bridge plug in 7" tong string casing at 168,5'.
8/19/2004 Pull 2250' (all) of 4 yz" short string. Set cast iron bridge plug in T'short string at 1685'. Rig down Key Energy.
14. 1 hereby certify that the foregoin is true and correct.
Signed Max Rams M . Title Piceance Operations Manager Date August 26. 2004
(This space for Federal or State office use)
Approved by Ti0e Dale
Conditions of approval, Rany:
Title 18 US.C. Section 1001, makes i[ a crime for any person knowingly and willfully to make to any department or agency of the United
States env (else, fictitious o[ fraudulent statements or represenlalions as to env matter within its jurisdiction. „„
'Sue Inst motion nn Reverse Sidc '