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 3160.5 UNITED STATES eorsM arrROW>D
Qune 1990) DEPARTMENT OF THE tNTER1OR Budget eureeu Na 1884-0135
Ex ves Mazch31, 1993
BUREAU OF LAND MANAGEMENT s. see o~ig„waae.,d SedalNu
Yankee Gulch CO-118328
SUNDRY NOTICES AND REPOR75 ON WELLS
IJo not use this form for proposals to drill or to deepen or reentry to a different reservoir. ~ u hm;en, ntboee "rr 'be N~
Use "APPLICATION FOR PERMIT-" for such ro s N/A
SUBMIT IN TRIPLICATE 7, 6 Uitit or G1, Aeremaot tkaigneuoa
A
1. Type of Well a Well Name a,d No
^ Oil Well ^ Gas Well lXJ Other Nahcolite Solution Minin 20-11
2 Name of Operator 9. art Well Nw
American Soda, L.L.P.
3. Address and Telephone No. ra rtela e.,dr~.me.rm~d"a are.
2717 Ct . Rd. 215 Parachute, CO 61635 976 285-6500 Central Piceance Creek Basin
4. Location of Well (Footage, Sec., T., R., M., or Survey Description) tl. coutuy m r..;al,,stdr
14556 Fasting and 144,50 Northing NE t/i of SB Y4 of Section 20, TLS, R97W 6®1'.M. Rio Blanco, CO
12. CHECK APPROPRIATE 13OX(s) TO INDICATE NATURE OE NOTICE, REPORT OR OTHER DATA
^ Notice of Intent
^ Subsequent Reports
®Final Abandonment Notice
® Abandonment ^ Change of Plans
^ Recompletion ^ New Constmclion
^ Plugging lfack QNon-Routine Fracturing
^ Casing Repau D Water Shut-0ff
^ Altering Casing ^ Conversion to Injection
Other: ^ Dispose Water
(Nde Repo,uwmmmstntae®pmm~w.n
v. a,.~mreorowacmr~«ao~mmla~r•m,apeudme.w..am a+~w~~m~s~•o-nme.d+ams rwwmm•~. a..naav~my mmea. d.e ®a.aex.w,im+
ma msena as m".~ma a,pm e. m med. as ~ pwmm m roe .ter
Web 20.11 dissolution surface at 1414'.
5/14/04 Rig up Key Energy on well and pull 2174' of the 4 t/z" long string. Set bridge plug ~ 1645'.
5/17/04 Cut 4 t/z" short string at 1465'. Pulled 1465' of 4'h" Set bridge plug ®1464'.
5/]7/04 Rig down Key Energy.
6/16/09 Cudd Pressure Control tripped to 1645 feet with mil tubing unit into long 7" casing string. Ha1ltUtrrtort pumped 235 sacks of 15.6
#/gal Type G, 35% SSA, 0.2% CFR-3 neat rnment and displaced coff tubing with water. (Plmse reference ASLLP Plugging and Long Term
Standby Summary)
6/16/04 Cudd Pressure Control tripped to 1465 (Possible Cudd report transpose, 16457) feet with and tubing unit into short 7" casing string.
Halliburton pumped 213 sacks of ]5.6 #/gal Type G, 35% SSA, 0.2% CFR3 neat cement and circulated 1 sack of c~tent to surface. (Please
reference ASLLP Plugging and Long Term Standby Summary)
7/7/2004 Stewart Welding cut off wellhead, capped both casings, and labeled well location on cap.
19. I hereby certify that the foregoing is true and correct.
SSgrred Max Ramey 1 itle Piceance Operations Manager Date tiny 20.2004
(Tltis Spam for Federal or State office use)
Approved by
Conditions of approval, if any:
Title 18 US.C. Section 1001, makes it a crime for any person knowingly and willfully to make to any department or agenry of the United
States any false, fictitious or fraudulent statements or representations as to any matter within its jurisdiction.
'See lnstmction an Reverse Side