HYDRO26395

• Permit No: M1999002
• IBM Index Class Name: Hydrology
• Doc Date: 9/20/2004
• Doc Name: P&A Reports
• From: American Soda L.L.P.
• To: DMG
• Media Type: D
• Archive: No

Form 3160-5 UNITED STATES tnaM ^PPtrovno
Qttne 1990) DEPARTMENT OF TI-IF. INTERIOR suaget aureau xo. toowt3s
Ex ws: March 31,1993
BUREAU OF LAND MANAGEMENT s. Lease Daigruaou and Serial No.
Yankee Gulch CO-118378
SUNDRY NOTICES AND RII'ORTS ON WEL[S
Do not use this form (or proposals to drill or to deepen or reentry ro a different reservoir. s umaian Allotree or tribe xame
Use "APPLICATION FOR PERMIT-" for such ro sots N/A
SUBMIT IN TRIPLICATE 7. aUnit orCA. e\greement Desjgwtian
NA
1. Type of Well a Well xameand Na
^ Oil Well ^ Gas Well ©Other Nahcolite Solution Minin American Soda LLP 20-30
2 Name of Operator 9. APtwdt xo.
American Soda, L.C.P.
3. Address and Telephone No, to. Aida and Pool or Explorabry Area
2717 C . Rd. Z15 Parachute, CO 81635 9711 285fi,500 Central Pfceance Crnek Basin
4. Location of Well (Footage, Sec., T„ R, M., or Survey Description) ll, connry or Parish Stare
E 12,756.92 N 13,275.64 S14oH of SEi4 of Section 20, TIS, R97W bm P.M. Rio Blanco, CO
12 CHECK APPROPRIATE BOX(s) TO INDICATE NATURE OF NOTICE, REPORT OR OTHER DATA
^ Notice of Intent
D Sssbsequent Reports
©Final Abandonment Notice
© Abandonment
^ Recompletion
^ Plugging Back
^ Casing Repair
^ Altering Casing
Other:
^ Change of Plans
^ New Construction
^ Non-Routine Fracturing
^ Water Shut-Off
^ Conversion to Injection
^ Dispose Water
INawe: NaPar aaolb mvwla0k ®aP~oa m~ Wdl
fem.
1J. Dmmnbe Proporedm Compknd Opmaom(Clmay sek a0 pmamudeWts aM pare pertvwm dws, aaaWdmg reamuN dare of a~+NnR a^Y PmPmred work I(wea6dv~iomllydMed rJareaabsuaMe laatlore
aM memuml a,d mae witicaldegb twill aurken end mws pvurN to aria wak.r
Well20-30 dissolution surface at 1606'.
8/28/2004 12fg up Key Energy on well. Pull 2431' (all) of 4 W' long string. Set cast iron bridge plug in 7' long string casing at 1660'.
8/30/2004 Pub 2013' (a6) of 4 r/z" short string. Set cast iron bridge plug in T' short string at 1660'. Rig down Key Energy.
An MIT was perEonned on 9/1/04. The long string7" casing failed the MIT.
On 9/7/04, Cudd Pressure Control tripped coil tubing to the bridge plug and Halliburton pumped 230 sacks of Type G, 3S% SSA-1, 0.2%
CFR3, 15.6 #/gal,1S5 ft3/sack cement in tong string T' casing.
On 9/10/04, Cudd Pressure Control tripped coil tubing to the bridge plug and tialliburton pumped 247 sacks of Type G, 35% SSA-1, 02%
CF123, 15.6 #/gal, 1.55 ft3/sack cement in long string T' casing for a toW of 477 sacks for the well
The wellhead is scheduled to be cutdown on 9/]4/04,.
14. I hereby certify
Signed
true and correck
(11»s space for Federal or Stare office use)
Approved by
Conditions of approval, if any:
TiOe 18 U.S.C. Section 1001, makes it a crime for any person knowingly and witlhtlly to make to any department or agency of the United
Shttes any false, fictitious or fraudulent statements or representations as to any matter witlun its jurisdiction
'See Ins(rttction on Reverse Side