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Form approvetl.OMe No. 2040-0042 <br />WASHINGTON, D.C. 20460 <br />EPA PLUGGING AND ABANDONMENT PLAN <br />Natural Soda, Inc., 3200 RBC 31, Ritle, Colorado 81650 <br />LOCATE WELL AND OUTLINE UNIT ON <br />SECTION PLAT -690 ACRES <br />N <br />Y <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />s <br /> STATE COUNTY PERMIT NUMBER CO 30356-00000 <br /> CO Rio Blanco <br /> SURFACE LOCATION DESCRIPTION <br /> SE 1/40F NW 1/40F 6W 1/45ECTION 26 TOWNSHIP 1$ RANGE O6W <br /> LOCATE WELL IN TWO DIRECTIONS FROM NEAREST LINES OF pUARTER SECTION AND DRILLING UNIT <br /> Surfaos <br /> Location 1456 tt. from (WS) $ Line of quarter section <br /> antl 1167 fl. from (FJW) W Line Of quarter section <br /> TYPE OF AUTHORIZATION WELL ACTIVITY <br /> ^ Intlivitlual Permit ^ GLASS I <br /> ^ Area Permit ^ CLASS II <br /> ^ Rule ^ Brine Disposal <br /> Number of Wells 1 ^ Enhanced Recovery <br /> Lease Name ^ Hydrocarbon Storage <br /> Natural Soda, Inc. ^ CLASS III <br /> Well Number: <br />I Tubing Record After Plucainc Well # 4A-2V <br />SIZE Wi (LB/FT) TO BE PUT IN WELL (FT) TO BE LEFT IN WELL (FT) HOLE SIZE Method of Emplacement of Cement Plugs <br /> 13-5/8 inch 91 feet 16 inch The Balance Method <br /> 9-5/8 inch 1968 ft 12-1/4 in The Dump Bailer Method <br /> The Two-Plug Method <br /> ^ Other <br />Cementing to Plug and Abandon Data: Plug #1 Plug #2 Plug #3 Plug #4 Plug #5 Plug #6 Plug #7 <br />size of HOIe orPipe in whits Piug Will ne Placed (inures) g-5/8 in. 9-5/8 in. 9-5/8 in 12-1/4 In 9-5/8 in <br />Depth to eonom of Tubing or Drill Pipe (tt.) <br />sacks of cementto ae used (each ping) CIBP 146 CIBP 252 351 <br />Slurry volume To ue Pumped (w tt.) 168 454 665 <br />calpwated TOVm Pwt oL) 1532 surface surface <br />Measured Top of Plug (if raged X.) 1920 ft 1520 ft <br />Slurry wt.(LO./Gal.) 15,8# 12,8# 12.8# <br />Type Cement or Other Material (Class lll) CIBP classG classG classG <br />I From I To I Fram I To I <br />CERTIFICATION <br />I certify under the penalty of law that I have personally examined and am familiar with the information submitted in this document and all <br />attachments and that, based on my inquiry of those individuals immediately responsible for obtaining the information, I believe that the <br />information is true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the <br />possibility of fine and imprisonment. (Ref. 40 CFR 144.32). <br />NA E AND OFFICIAL TITLE (Please type orphnt) SIGNATU E ~ DATE SIGNED <br />~oau R- Stv:~>~j <br />~ tso Z Z 24DS <br />