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Form 3160-5 UNITED SCATES PoRM Ar~raoveD <br />Qune 1990) DEPARTMENT' OF THE INTERIOR enaget eurean No. leotol3s <br /> Ex i+es: Marth 31,1993 <br />BUREAU OF LAND MANAGEMENT s. lease oesigution aM sodnl No. <br /> Yankee Guleb CO-118358 <br />SUNDRY NOTICES AND REPORTS ON WELCS <br />Do not use this form for proposals to drill or to deepen or reentry to a different reservou. b. u maian. Nmt@e or tribe Name <br />Use "APPLICATION FOR PERMTT--" for such ro sots N/A <br />SUBMIT [N TRIPLICATE 7. Yunit or CA, A(2eement Desi~udon <br />_ NA <br />1. T}pe of WeB B. Well NamearM NO. <br />^ Oil Well ^ Gas Well O Other Nahcolite Solution Minis American Soda LLP 20.35 <br />2 Name of Operator 9. API Wdl No. <br />American Soda, L.L.P. <br />3. Address and Telephone No. te. Pieta and Poo4 or Exploabry Area <br />2717 C . Rd. 215 Parachute, CO 81635 970 285fi500 Central Piceance Creek Basin <br />4. Location of Well (Footage, Sec., T., R, M., or Survey Description) 11. cnunry or Partsh saw <br />E 11,55951 N 13416.87 SE'/. of 54VYr of Section 20, TIS, R97W 6m P.M. Rio Blanco, CO <br />TYPE OF SUBMLSSION ~ TYPE OF ACTION <br />^ Notice of Intent <br />^ Subsequent Reports <br />OFinal Abandonment Notice <br />OO Abandonment <br />^ Recompletion <br />^ Plugging 13ack <br />^ Casing Repau <br />^ Altering Casing <br />Other: <br />^ Change of Plaza <br />^ New Construction <br />^ Non-Routine Fracturing <br />^ Water Shut-Off <br />^ Conversion to Irgection <br />^ Dispose Water <br />(Nme. Repmtredbm mdaple mmpktiw on We- <br />l3. reexMC RVpmedm COmPlered Operatimn(Clearly Bare aO pe~timudeuil,vq pve pe~tircnt daW.,imJUd~n6 estimeud dee o(emrtin6 anY PM"s'd wmk I(weBUdmrtioneBY dr+-e4 PJve subsurfam lomtims <br />awl mama deed true vmtlrzl depJU Wren vurtrn end mms pmmvntto giiswmk)• <br />Well 20.35 dissolution surface at 1686'. <br />8/30/2004 Rig up Key Energy on well. Cut 4 rfi" long string at 1760', Pull 1760' of 4 r/i" long string. Set cast iron bridge plug in T' long string <br />casing at 1740'. <br />8/31/2004 Cut 4 rr4" short string at 1760'. Pull 1760' of 434" short string. Set cast iron bridge plug in T' short string at 1740'. Rig down Key <br />Energy. <br />An:MIT was performed on 9/1/04. The long string 7" casing failed the MIT. <br />On 9/9/04, Cudd Pressure Control tripped mIl tubing to the bridge plugs and Halliburton pumped 249 sacks of Type G, 35% SSA-1, 01% <br />CFR~, 15.6 #/gal, 1.55 ft3/sack remelt al long string T' casing and 249 sacks in the short string using of the same blend. On 9/10/2004, the <br />T kmg string casing was Filled to the surfam with ]8 sacks of the same blend for a total of 516 sacks for the weR <br />The wellhead is scheduled W be cutdown on 9/14/04. <br />14. I hereby certify that the foregodn~ is true and correct <br />Sigued <br />September 14. 2004 <br />(This space for Federal or State office use) <br />Approved by <br />Cmlditions of approval, if any: <br />Title ]8 U.S.C. Section 1001, makes it a aisle for any person knowingly and willfully m make to any department or agency of the United <br />States any false, fictitious or fraudulent statements or representatlons as to any warier within its jurisdiction. <br />'See Instruction an Reverse Side <br />