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Form Approved UMB No 2610-OB42 Approval Expires 6-349 <br />^~ UNITED STATES WASIHINGT N pCP~CIION AGENCY <br />C PLUGGING AND ABANDONMENT <br />NM1E AND ADDRESS OF FACILITY <br />American Soda LLP. <br />27991 County Road 5 <br />RiBe. Co, Sl6>0 NAME AND ADDRESS OFOWNER/OPERATOR <br />American Soda L.L.P. <br />2717 County Road 215 <br />Parachute, Co, 81635 <br /> <br />LOCA7E WELL AND OUTLINE UNIT ON <br />S'ECFION PLAT -640 ACRES SLATE <br /> <br />CO. COUNTY <br /> <br />Rio Blanco PF.RMl'F NUMBER <br /> <br />CO?SS&0452 <br /> <br />N SURFACE LOCATION DESQtIPF10N <br />t•RN Y., NE ., NE ., Section 29, Townsltip 1S Range 97W <br /> X <br />LOGTE WELL PI TWO DIXEC110N6 FROM NEAREST LEVFS OF QUARTER $ECHON AND DRB.LPIC UNIT' <br /> Surface <br />20' FNL 17843.31 Northing <br /> 81d FEL 14784.85 Eason <br /> TYPE OF AUTHORIZATTON WELL ACTIVITY <br />W E X individual Permit <br />o Area Permit CLASS 1 <br />p CLASS II <br /> p RWe p Brine Disposal <br />p Enhanced Recovery <br /> Number of Wells _1_ p Hydrocarbon Storage <br />D CLASS IE <br /> Side by Side Dual T' Casing Completion <br />S Lease Name Yankee GWch WeB Number 29-24 <br />CASING AND TUBING RECORD AFTER PLUGGING METHOD OF EMPLACEMENT OF CEMENT PLUGS <br />5¢E WTfL6/F1') TO BE PITT EV WEL14F1) TO BE LEFT IN WELL(FI) HOLE SIZE O The Balance Method <br />2d' 53 0 40' 24" O The dump Bailer Method <br />T' 26 0 ~ 1789' 19" ~ The Two-Plug Method <br />T' 26 0 2104' 19" X Other <br /> Call Tubing Unit <br />CEMENTING TO PLUG AND ABANDONED DATA PLUG #1 PLUG #2 PLUG #3 PLUG #4 PLUG #5 PLUG #6 PLUG #7 <br />Size of Hole or Pi in which Plu Will Be Placed inches 7" n T Short <br />to Bottom of Tubin or Drill Pi k 1725 1715 <br />Sacks of Cement Used each lu 246 245 <br />Slum Volume Pum d cu. k 361.3 379.8 <br />CalculatedT of Piu k Surface Surface <br />Measured To of Plu k to ed k Surface Surface <br />Sl Wt. b.JGaL) 15.6 15.6 <br />T cement or other material Class BI T G T G <br />LIST ALL OPEN HOLE AND/O A PERFORATED INTERVALS WHERE CASING WILL 8E VARIE D (i an ) <br />From To From To <br /> <br /> <br /> <br /> <br /> <br />Please reference attached BLM Sundry Form <br />CERTIFICATION <br />I certfy urrdcr Me pewlty of [he /aw that I haae personally examined and am familiar ruith tht infarnwtion <br />submitted in tM's document and aft attachments and that, based vn my inquiry of those individuals <br />immediately responsible for a6taining the information I belime that the information is true, attvratt, <br />and complete. f am aruare that there are signrffvnt penalties for submitting false infonnativn including <br />the possibility affix and imprhoronent. (Ref. 40 CFR 144.32 <br />NAME AND OFFICIAL TITLE (Please type or pent) <br />Max Ramey Piceance Operations Manager SIGNATU <br />~ _ DATE SIGNED <br />September 14, 2004 <br />EPA Form752479 /\ <br />