REP16554

• Permit No: M1999002
• IBM Index Class Name: Report
• Doc Date: 8/5/2004
• Doc Name: Plugging and Abandonment of Wells & Reports
• From: American Soda LLP
• To: DMG
• Media Type: D
• Archive: No

Form 37605 UNITED STATES FORM APPROVED
Qvne ]990) DEPARTMINT OF THE INTERIOR Budget Bureau Na lOB4-0135
Ez ~ues Mvch31, 1996
BUREAU OF LAND MANAGEMENT s. Leese Dag,,.uva °~a serial Nw
Yankce Gulch CO-118325
SUNDRY NOTICES AND REPORTS ON WELLS
Do not use this form for proposals to drill or to deepen or reentry to a different reservoir. e u irdiew Auon« or rr3e Nerve
Use "APPLICATION FOR PERMIT-" for such N/A
SUBMIT IN TRIPLICATE r- Ir u,w «cA, Agre~mt Dmignetion
A
1. Type of Well s, weu N®ne.w Nw
^ Oil Well O Gas Well ®Other Nahcolite Solution Minin American Soda LLP T43
2 Name of Operator 9. API Well Nw
American Soda, LLP.
3. Address and Telephone No, la FvM eaa Pmt m e~PI°~°'°~5' AR°
2717 C . Rd. 215 Parachute, CO 81635 970 285bS00 Central Piceance Creek Basin
4. Location of WeB (Footage, Sec., T., R., M., or Survey Description) Il. CouMy or Push, State
B 14,382 N 13,928 NE'/i of 5E r/i of Section 20, TIS, R97W (>'s P.M. Rio Blanco, CO
12. CHECK APPROPRIATE BOX(s) TO INDICATE NATURE OF NOTICE, REPORT OR OTHER DATA
^ Notice of Intent
ACTION
^ Subsequent Reports
®Final Abandonment Notice
® Abandonment
^ Recompletion
O Plugging Back
^ Casing Repair
O Altering Casing
Other.
^ Change of Plans
^ New Constmction
^ Non-Routine Fracturing
^ Water Shut-Off
^ Conversion to Injection
^ Dispose Water
Mar Repoam°lammvltipe,mpleummwm
13 nuu0e ROpmei u~CmP4redOpmtiom(Omi9 waoea0 pawmraavl; mdgieepaWm~dne.arl^N^&a®aeertmielwvmB mr P^P^~~~aweaia'varmaay JErM,9re mbnd°ce lrcati®
ma msaveamamu.nerzlhpbbaow~tn+®a,mvp+temtmaa,.vcY
WeB 203 dissolution surface at 1401'.
4/15/04 Rig up Key Energy on weB and mt 2 7/8" tubing at 1544.
4/16/01 fulled 1544' of 27/8" tubing.
4/19/04 Cut 4'h" pipe at 1544'. Pulled 1544' of 4th" tubing from well. Ran ring gauge. Ring gauge stopped at 1355'.
4/20/04 Ran mill and rollars into well, milled to 1371'. Tripped out of hole.
4/21/04 Ran in well with 5 7/8" bit and cleaned to 154T. Tripped out of hole. Set cast iron bridge plug at 1543,5. Rigged down Key Energy.
6/17/04 Cudd Pressure Control Mpped to 1539 feet with mil tubing unit into rombmation 9 5/8" by 7" °S1 t8 string. Halhburton pumped
400 sacks of 15.6 #/gal Type G, 35% SSA, 0.2% CFR3 neat cement and displaced mil tubing with water. (Please reference ASLLP Plugging
and Long Term Standby Summary)
7/7/04 Stewart Welding cutoff wellhead caPP~ 9 5/8" casing, and labeled cap.
14. I hereby certify that the foregoing
Signed
(This space for Federal or State office use)
Approved by
Conditions of approval, 0 any:
Title 18 U.S.C. Section 1001, makes it a Qime for any person knowingly and willfully to make to any department or agency of [he United
States any false, fictitious or fraudulatt statements or representations as to any matter within its jurisdiction.