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Form 3160.5 UNFI'ID STATES Foam nrt'ttove0 <br />(Jtme 1990) DEPARTMENT OF THE INTERIOR auaget uare.a xo.1tp40135 <br /> Ea i,m Merrtr31. 1993 _ <br />BUREAU OF LAND MANAGEMENT s. teee lkaigneuon erdscid xa <br />SUNDRY NOTICES AND REPORTS ON WELIS Yankee Gulch CO-118328 <br />Do not use this form for proposals to drill or to deepen of reentry to a different reservoir. u u twe.,. nuoa~ err~;te N~ <br />Use "APPLICATION FOR PERMIT-" for such o s N/A <br />SUBMIT IN TRIPLICATE ~. tf uoa arCA, ngrv ..em tk,+go.eon <br />_ N/A <br />I. Type of Well s weu xe,ne.rm xo. <br />^ Oil Well ^ Gas Well ®Other Nahcolite Solution Minin American Soda LLP 29.29 <br />2. Name of Operator 9. API Well No. <br />American Soda, L.L.P. <br />3. Address and Telephone No. t¢Field and Pool, or Fspbr+tory ores <br />2717 . Rd. 215 Parachute, CO 81635 970 285.6500 Central Piceance Creek Basin <br />4. Loratfon of Well (Footage, Sec., T., R., M., or Survey Description} tt. couruy or r.,xin,stee <br />E 13,087.01 N 1277416 NWr/i of NE Yi of Section 29, TIS, R97W 6~ P.M. Rio Blanca, CO <br />12 CHECK APPROPRIATE BOX(s) TO INDICATE NATURE OF NOTICE, REPORT OR OTHER DATA <br />^ Notice of Intent <br />®Subsequent Reports <br />^ Final Abandonment Notice <br />^ Abandonment <br />Recompletion <br />^ Plugging Back <br />^ Casing Repass <br />^ Altering Cas¢tg <br />X Other: Long Term Standby <br />^ Change of Plans <br />~ New Construction <br />O Non-Routine Fracturing <br />^ Water Shut-Off <br />^ Conversion to Injection <br />^ Dispose Water <br />~vaee PsPdrmdammWtipkc®p44mm Wea <br />13. ne.v,trr'^Po+N mcomp4vaopmtiam lClnarxm+a pvmmaeW+,®ag..po,am,a.es mwamsmmme a.ma+.ms+n P~°P°ea ~'^r u.,aaaenewrry aw.a gr<obanae b~amo. <br />amma+ueeam ove..maaep,m rorau mvtesmamoep.emtro,m.,oacr <br />This well is scheduled for long term standby. If economirs improve, this web could be brought back into production. <br />t' <br />Well 29-29 dissolution surface at 1634'. <br />8/19/2(104 Rig up Key Energy on well. <br />8/2U/2004 Nipple down wellhead. <br />8/23/2004 Pull 2399' (all) of 4 Yz" long string. Set cast iron bodge plug in T' long string casing at 16B5'. Pull 2004' (a6) of 4 yf short string. <br />Set cast uon bridge plug in 7" short string at 1685'. Rig down Key Energy. <br />t4. [hereby certify that the foregoing is true artd mrnrt. <br />Signed <br />(This spam for Federal or Slate office use) <br />Approved by <br />Conditiore of approval, if any: <br />Title IS US.C. Section 1001, makes it a crime for any person knowingly and willfully to make to anv department or agency of the United <br />SWtes anv false, fictitious or fraudulent statements or representations as to any matter within its jurisdiction. <br />'Sew Instruction an Reverse Side <br />