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Form Approved UMB No 2fM0~OD42 Approval Ezpves 6-3!19 <br />~~~ UNITED STATES ENVIRONMENTAL PROTECTION AGENCY <br />WASHINGTON, DC 20460 <br />PLUGGING AND ABANDONMENT <br />NAME AND ADDRESS OF FACILCTY <br />Anu,ican Soda L.LP. <br />27991 County Road 5 <br />Rifle, Co, 81650 NAME AND ADDRESS OFOWNER/OPERATOR <br />American Soda L.L.P. <br />2717 County Road 215 <br />Pazachute, Co, 81635 <br /> <br />LOCATE WELL AND OUTLINE ONIT ON <br />SECTION PLAT -640 ACRES SCATE <br /> <br />CO. COUNTY <br /> <br />Rio Blanco PERMIT NUMBER <br /> <br />C03658-04651 <br /> <br />N SURFACE LOCATION DESCRIPRON <br />NE /~, NIW Y., NE Y., Section 29, Township 15 Range 97W <br /> X <br />LOCATE WELL BJ TWO DOtECTIONS FROM NEAREST LWFS OF QUARTER SECHON AND DRdLING UNTr <br /> Surfam <br />240'FNL t3W7.96 Northing <br /> 1330' FEL 1266279 Fastitr <br /> TYPE OF AUTHORIZATTON WELL ACI'IV1TY <br />W E X Individual Peradt <br />D Area Permit CLASS f <br />o CLASS II <br /> p RWe p Brine Disposal <br />p Enhanced Recovery <br /> Numberd Wells _1_ p Hydrocazbon Stooge <br />O Class III <br /> Side by Side Dual 7" Casing Completion <br />g Lease Name Yankee GWch Well Number 29-76 <br />CASING AND TUBING RECORD AFTER PLUGGING METHOD OF EMPLACEMENT OF CEMENT PLUGS <br />SIZE WT(L#/FI') TO BE PUT IN WELUFry TO BE LEFT M WELL(FI) HOLE SIZE O The Balance Method <br />2(Y' S3 0 78' 24" O The dump Bailer Method <br />T' 26 0 ~ 1921' 19" a The Two-Plug Method <br />T' 26 0 2119" 19" X Other <br /> Coil Tubing Unit <br />CEMENTING TO PLUG AND ABANDONED DATA PLUG #1 PLUC k2 PLUG #3 PLUG #4 PLUG #5 PLUG #6 PLUC #7 <br />Size o1 Hole or Pi in which Plu WID Be Placed inches P' n 7" Short) <br />th to flotmm of Tubin or Drill Pi ft 1900 1900 <br />Sacks of Cement Used each lu 263 263 <br />Slurry Volume Pum d N. ft 407.7 407.7 <br />Calculated To of Plu Et Surfaze Surface <br />Measured T of Plu if m ed ft Surface Surface <br />SI Wt Lb./Gal.) 15.6 t5.6 <br />T cement or other material Class T G T C <br />I,LST ALL OPEN HOLE AND/OR PERFORAT ED IM'ERVALS WHERE CASMG WILL BE VARI ED (i an ) <br />Fmm To From To <br /> <br /> <br /> <br /> <br /> <br />Please reference attached BLM Sundry Form. <br />CERTIFICATION <br />7 orrtify render the penalty of the law that I hau personally examined and am familiar with the information <br />sabmiftrd in this document and all attadrments and that, baud on my ingairy of thou indiaidaals <br />immediately responsible for obtaining the information, l belitae that the information is true, accurate, <br />and cample4. [ am aware that there art signifiraert penalties for submitting false information, inc/vding <br />the possibility ofjine ord imprisonment. (Ref. 40 CFR 14432 <br />NAME AND OFFICIALTTCLE (Please type orprin0 <br />Maz Ramey Piceance Operations Manager SIGNATURE <br />(~,~ DATE SIGNED <br />September 14, 2004 <br />EPA Farm 7520.79 <br />