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Form 3160-5 UNITED STATES <br />(September 2001) DEPARTMENT OF THE INTERIOR <br />BUREAU OF LAND MANAGEMENT <br />SUNDRY NOTICES AND REPORTS ON WELLS <br />Do not use this form for proposals to drill or to re-enter an abandoned well. <br />Use Form 3160 - 3 (APD) for such proposals. <br />SUBMIT IN TRIPLICATE-Other instructions on reverse side. <br />1. Type of Well <br />Oil Well Gas Well Other' Sodium Bicazbonate <br />Solufion mining injector <br />2. Name of Operator NATURAL SODA, INC <br />Address 3b. Phone No. (include area <br />3a. 3200 County Road 31, Rifle Colorado 81650 code) 97D-878-3674 <br />3. Location of Well (Footage, Sec., T., R., M., or Suraey Description) <br />825 FSL 1361 FWL Section 26 T1S R98W <br />12. CHECK APPROPRIATE BOX(ES) TO INDICATE NATURE OF NOTICE, REP <br />TYPE OF SUBMISSION ~ TYPE OF ACTION <br />^ Notice of Intent <br />^ Subsequent Report <br />^ Final Abandonment <br />Notice <br />LJ Acidize <br />^ Alter Casing <br />^ Casing Repau <br />^ Change Plans <br />^ Convert to <br />Injection <br />[)eepen <br />Fracture Treat <br />New Construction <br />Plug and Abandon <br />FORM APPRO VED OM B No. 1004-0135 <br />Expues: Januazy 31, 2004 <br />5. Lease Serial No. <br />Sodium lease C-0118327 <br />6. If Indian, Allottee or Tribe Name <br />EPA permit CO 30358-00000 <br />7. If Unit or CA/Agreement, Name <br />and/or No. <br />Natural Soda, Inc. <br />8. Well Name and No. <br />2B-3C <br />9. API Well No. <br />10. Field and Pool, or Exploratory <br />Area <br />Boies-Bed/saline zone Cavity 2B-3C <br />11. County or Parish, State <br />Rio Blanco .Colorado <br />(Start/Resume) <br />^Reclamation <br />^Re-complete <br />^Temporarily Abandon <br />^Water Disposal <br />r Shut-Off <br />Integrity <br />13. Describe Proposed or Completed Operation (cleazly state all pertinent details, including estimated starting date of any proposed work and approximate <br />dum[ion thereof ]f the proposal is to deepen directionally or re-complete horizontally, give subsurface locations and measured and true vertical depths of all <br />pertinent markers and zones. Attach the Bond under which the work will be performed or provide the Bond No. on file with BLM/BIA. Required subsequent <br />repons shall be filed within 30 days following completion of the involved operations. If the operation results m a multiple completion or recompletion in a new <br />interval, a Form 3160A shall be filed once testing has been completed. Final Abandonment Notices shall be filed only after all requirements, including <br />reclamation, have been completed, and the operator has determined that the site is ready for final inspection.) <br />Pull 1000 feet 3-1/2 inch mbing from well bore. <br />Run in well and se[ cast iron bridge plug @ 1920. <br />Tag cement with tubing string. <br />Pump 138 sacks class G cement to surface. <br />Remove well head from casing. <br />Weld P&A marker with all well identification onto casing <br />14. I hereby cenify that the foregoing is true and correct <br />NOTE: HOLE IN CASING @ 1820 FEET. Squeezed with first 90 sacks of cement. <br />Tagged se[ up cement @ 1828. Pumped cement to surface. <br />Name (Printed/Typed).~ Rodnev A. Storev Title: WELL FIELD SUPERVISOR <br />Signature: <br />THIS SPACE FOR FEDERAL OR STATE OFFICE USE <br />Approved <br />Title: <br />Conditions of approval, if any, are attached. Approval of this notice does not warrant or <br />certify that the applicant holds legal or equitable title to those rights in the subject ]ease <br />which would entitle the applicant to conduct operations thereon. <br />Office: <br />Date: <br />Title 18 U.S.C. Secfian 1002 and Title 43 U.S.C. Section 7272, make it a crime for any person knowingly and willfully to make to any <br />