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Form 3160-5 UNFFED SCATFS EORM APPROVED <br />Qune 1990) DEPARTMENT OF TI-IE. INTERIOR Rvaget sureav No. tow-m35 <br /> Ex ircs: Marth 31,1993 <br />BUREAU OF LAND MANAGEMENT 5. (ease Detfgnaoo~ atM Serial No, <br /> Yankee Gulch CO-118328 <br />SUNDRY NOTICES AND REPORTS ON WELLS <br />Do not use this form for proposals to drill or to deepen or reentry to a different reservoir. n. u Inafan, Auoaee or Tone Name <br />Use "MPLICATION FORPERMIT-" for such ro sots N/A <br />SUBMIT IN TRIPL[CATE 7. aUNt or G, Agrtenrent Desigrution <br /> A <br />1. Type Of WeB 8. Well NamearM No. <br />^ Oil Well ^ Gas Well Ox Other Nahcolite Solution Minin American Soda LLP 2466 <br />2 Name of Operator 9. API Well No. <br />American Soda, L.L.P. <br />3. Address and Telephone No. to. Field aM Pool or Exptommry Area <br />2717 C . Rd. 215 Parachute, CO 81635 ~5-6.500 Central Piceance Creek Basirt <br />4. Location of Well (Footage, Sec., T., R., M., or Survey Description) v. cumry or Parch, cram <br />E 13391.46 N 12,8110.58 NN^h of NEB/a of Section 29, 1TS, R97W 6m P.M. Rio Blanco, CO <br />TYPE OF SUBMISSION ~ TYPE OF ACTTON <br />^ Notice of Intent Ox Abandonment <br />^ Recompletion <br />^ Subsequent Reports ^ Plugging Back <br />^ Casing Repair <br />OFinal Abandonment Notice ^ Altering Casing <br />Other: <br />^ Change of Plans <br />^ New Construction <br />^ Non-Routine Fracturing <br />^ Water Shut-0ff <br />^ Conversion to Injection <br />^ Dispose Water <br />(tide: Rrpwtrmvlbm mWhPlecomPktion on Well <br />1J. Dembe Propaed or UmPINd OPxat»m(Ckaay state all Pmlirent demac aM glare pertmerd detrs,irchdmR estlmated date ofsWbnq wy prolNSed wmk UwettudvectlowllYd Led, pve subsuAarelrcatiore <br />aM measwed and Weveatiraldepaisfm all marYmsaM ms~perlimLLm auswm4)' <br />Well 2968 dissolution surface at 1656'. <br />9/212p14 Installed 434" wireline plug in short string 4 Yz' - 534" VIT at 1fl57. Cut 4 Yz" P-110 blank joint at 1847. While pumping brine into <br />the short string, Nte short string tubing failed at the crossover to the VIT at the wellhead. <br />9/3/2004 Rig up Key Energy on well. <br />9/7/2004 Pull 2366' (aB) of 4 r/z" and 4 t/z" - 5 t/z" VIT combination long string. Set cast von bridge plug ¢t 7' long string casing at 1714. <br />9/8/2004 Initiated fishing on the short string VIT tubing. After several attempts to cut and fish the VIT tubing, a drilling collaz sever charge <br />was set off at 1710'. The sever charge appazendy ballooned the VIT and was unsuccessful. <br />9/10/2004 Successfully'backed ofF the short string VIT at 1681'. Pulled 1681' of 4 Ya" - 5 t/z" VIT and set cast iron bridge plug ®1664'. <br />Since ASLLP used a sever charge at 1710' and probable damage to the T' cashing ocaraecl, the decision was made to Plug and Abandon the <br />well. <br />9/13/2004 -Key Energy ran 1684' of 2 7/8" tubing into the T' short string casing. Flalliburton pumped 233 sacks of cement and circulated to <br />the surface. Key ran 1693' of 2 7/8" tubing into the T' long string casing. flalEblrrton pumped 237 sacks of cement and arculated to the <br />surface. <br />The cement used was Type G, 35% SSA-1, 0.2% CFR-3, 15.6 #/gal, 1.55 ft3/sack cement in each T' casing for a total of 470 sacks for the weLL <br />The wellhead is scheduled to be cutdown on 9/14/04. <br />14. I hereby certify that the foregoing is true and correct. <br />Signed Max Ramey ~ ~ ~.S~v~¢~ 1 ,Title Piceance Operations Manager Date _ptember 14, 2004 <br />(This space for Federal or State office use) ~~ <br />Approved by Title Date <br />Conditions of approval, if cry: <br />Title 18 U.S.C. Section 1001, makes it a crime for any person lmowtngly and willfully to make to any depaztment or agency of the United <br />States any false, fictitious or fraudulent statements or representations as to any matter within its jurisdiction. <br />*See Instruction an Reverse Side <br />