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FOint?~SfiO-5 UNITID STATES FORM APPROVED <br />Qune 1990) D11'ARTMENTOF THE INTERIOR ardget tiuresuNwtoo4013S <br />" <br /> Ex <br />vas March 31, 1993 <br />BUREAU OF LAND MANAGEMENT s. LemeRmignmionvrd5eriel Nw <br /> Yankee Gulch CO.118328 <br />SUNDRY NOTICES AND REPORTS ON WELTS <br />Lb trot use this foray for proposals to drill or to deepen or reentry to a different reservoir. s ulydm.c Asoaaeor x~ N~ <br />Use "APPLICATION FOR PERMfT--" for such ro N/A <br /> <br />SUBMIT IN TRIPLICATE ~. uum o.r~,A~mo~;sa.aoa <br /> A <br />1. Type of Well 8 WP1INmr..d Nw <br />^ Oil Well ^ Gas Well ®Other Nahcolite Solution Minin American Soda LLP 2632 <br />2 Name of Operator 9. APIweaNw <br />American Soda, L.L.P. <br />3. Address and Telephone No. to. Field and Pastor Fxptoruory Area <br />2717 C . Rd. 215 Parachute, CO 51635 970 28545/p Central Piceance Creek Basin <br />4. I.ocatton aE Well (Footage, Sec., T., R., M., or Survey Ikscription) tt. coa.ay oe Pumhsr.te <br />E 11,828.97 N 13,744.56 SE t/i of SW Yi of Section 211, TIS, R97W 6u P.M. Rio Blanco, CO <br />12. CHECK APPROPRIATE BOXIsI TO INDICATE NATURE OP NOTICE. REPORT OR OTI$2 DATA <br />^ Notice of Intent <br />®Subsequent Reports <br />^ Frnal Abandonment Nottce <br />^ Abandonment <br />^ Recompletion <br />^ Plugging Back <br />D Casing Repair <br />^ Altering Casing <br />X Other. Long Term Standby <br />^ Change of Plans <br />D New Construction <br />^ Non-Routine Fracturing <br />^ Water Shut-0ff <br />O Conversion to Injection <br />^ Dispose Water <br />Were xq,e.rRaummmtGplecmp4emm WM <br />]3. ne®be KOpaseia(®PImMOpmti®(OW1fYR ~O liarNV¢dNNe, toG yJrePmlomthr4 ~8~e+trd AhAwtln&m1PW~Mmt aweabArp tlmYlytl~4~nhMzeloorlrmt <br />.m mmvea ®a am w+K.1 ~. ~ m erm~m and ms P~ m me .~.r <br />This well is scheduled for long term standby. if emnornirs improve, this well could be brought back into production. <br />Web 20-32 dissolution surface at 1670'. <br />7/29/2064 Rig up Key linergy on well. Pull 2493' (all) of the 4'h" long string. <br />7/30/2004 Set cast iron bridge plug in the long7" casutg string at 1775'. Cut 4 rFi" short string @ 1796'. Pulled 1750' of 4 Sh" short string. <br />8/2/2004 Attempted to set cast iron bridge plug in short T' casing but the bridge plug hung up at 546'. Pulled out of wireJine rope socket. <br />Si'3/2004 - 8/10/2004 Rished bridge plug setting tod. Drilled out bridge plug with 6 I/8" bit. <br />8 rll/2064 Set cast iron bridge plug in 7" short casing at 1720'. Pressure checked both long and short 7" casings. Neither 7" casings held <br />pressure for 30 minutes. Rig down Key Hnergy. <br />l4. I hereby certify that the foregoing is true and correct. <br />Stgned <br />(This space Eor Federal or State office use) <br />Approved by <br />Conditions of approval, if any: <br />Title 18 US.C. Section ]007, makes it a crime for any person knowingly and willfully to make to any department ox agency of the United <br />States any false, fictitious or fraudulart statemerrts or representations as to any matter within its jurisdiction <br />'See Instmction on Reverse Side <br />