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

Forrn 3160-5 UNITED STATES FORM APPROVED
(June 1990) DEPARTMENT OF THE INTERIOR Budget t]ureau No.1004-0135
Ex Tres: March 31,1993
BUREAU OF LAND MANAGEMENT 5. lease rksi~ation and Serial No.
SUNDRY NOTICES AND REPORTS ON WELLS Yankee Gulch CO-118328
Do not use this form for proposals to drill or to deepen or reentry to a different reservoir. s. 1[ mdun, Anmeee or Tribe Name
Use "APPLICATION FOR PERMIT-" for such ro owls N/A
SUBMIT IN TRIPLICATE 9. if uait or cA, Agmmeat nesignatlon
N/A
1. Type of Well 8. Well Nameand No.
l7 Oil Well ^ Gas Well D Other Nahcolite Solution Minin American Soda LLP 29-26
2. Name of Operator 9. API Well No.
American Soda, L.L.P.
3. Address and Telephone No. lo. Field and Poo4 or Exploratory Area
2717 C . Rd. 215 Pazachute, CO 81635 970 285-6500 Central Piceance Creek Basin
4. Location of Well (Footage, Sec., T., R., M., or Survey Description) 11. County or Parish, state
E 13685.52 N 12809.20 NW'/e of NE'/a of Section 29, TIS, R97W 6~s P.M. Rio Blanco, CO
TE NA
TYPE OF SUBMISSION ~ TYPE OF ACTION
^ Notice of Intent
OO Subsequent Reports
^ Final Abandonment Notice
^ Abandonment
^ P.ecompletion
^ Plugging Back
^ Casing Repair
^ Altering Casing
X Other: Long Term Standby
^ Change of Plans
^ New Conslnrction
^ Non-Routine Fracturing
^ Water Shut-Off
^ Conversion to Injection
^ Dispose Water
(NOh: Reyrt roulb in multipkmmpkmn on Well
1J. Describe Propo tar COmple4d Operalio~u(Cksrly slap all perYrem avtnils, and give per[inenl dale, uKluding estiwlad ease of alerting any propoutl wort If welludimtiorelly arilkd, give subsarfam laatiors
ana meaaurea am Irna eeri;cal aepna ro. au mar4era era ro~ pe,Ercin w tM1is worw.)•
This well is scheduled for long term standby. If economics improve, this well could be brought back into production.
Well29-26 dissolution surface at 1568'.
8/13/2004 Rig up Key Energy on well and pulled 355' (all) of 4 Vz° long string.
8/16/2004 Set cast iron bridge plug in 7" long string casing at 1618' Pu111931' (all) of 4 Vz" short siring. Set cast iron bridge plug in 7" short
string at 1618'. Rig down Key Energy.
14. I hereby certify that the foregoing is true and correct.
Signed
(This space for Federal or State office use)
Approved by
Conditions of approval, if any:
August 18, 2p04
Title 18 U.S.C. Section 1001, makes it a aims 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 matter within its jurisdiction.
'See Instruction on Reverse Side