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UN{TED STATES ENVIRONMENTAL PROTECTION AGENCY <br />WASHINGTON, D.C. 20460 <br />EPA WELL REWORK RECORD <br />NAME AND ADDRESS OF PERMITTEE <br />Natural Sotla, Inc., 3200 RBC 31, Rifle, CO 81660 <br />LOCATE WELL AND OIfrUNE UNIT ON <br />SECTION PLAT-640 ACRES <br />N <br /> <br /> <br /> <br />~i i i I i i <br /> <br /> <br /> <br /> <br />IM <br />s <br /> CO Rio Blanco CO 30368-00000 <br /> SURFACE LOCATION DESCRIPTION <br /> SW 1/40F $W 1/40F NW 1/45ECTION 26 TOWNSHIP 15 RANGE 86W <br /> LOCATE WELL IN TWC DIRECTIONS FROM NEAREST LINES OF QUARTER SECTION AND DRILLING UNn <br /> Surface <br /> Location 3358 tl.from (WS) N Line of quarter setlion <br /> antl 3368 h. from (EAAn E Une of quarter section <br />E WELL ACTIVITY Total Depth eefore Rework TYPE OF PERMIT <br /> ~ Srina disposal 1979 FFS ~ Indivitlual <br /> Enhancetl Recovery Total DepN AXer Rework ~ prea <br /> ^ Hytlrwarbon storage 1500 FFS Number o(wells 1 <br /> Lease Name Date Rework Cammencetl Weu NUmder: 2A-2V <br /> PLANNED <br />Casing ~ Cement ~ Perforations ~ Acir or Fracture <br />RIB '~ DPnth Sarks Tvoe From To Treatment Record <br />- I/p~CYlYf <br />3-1 OVJ <br />Casing Cement ~ Perforations ~ Acir or Fracture <br />SST nenfh Rarks Tvoe From To Treatment Record <br />1 <br />1 <br />I DESCRIBE REWORK OPERATIONS IN DETAIL WIRE LINE LOGS, LIST EACH TYPt <br />USE ADDITIONAL SHEETS IF NECESSARY Log Types Logged Intervals <br />CERTIFICATION <br />I certi/y under the penalty of taw that I have personally examined and am familiar with the information submitted in this document and <br />all attachments and that, based on my inquiry of those individuals immediately responsible for obtaining the information, I believe that <br />the information is true, accurate, and complete. I am aware that there are significant penalties for submitting false information, <br />including the possibility of fine and imprisonment. (Ref. 40 CFR 144.32)- <br />ME AND OFFICIAL TITLE (Pleaseboeorprinp SIGNATURE DATE SIGNED <br />~oDA.tH At SYoL s <br />