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Pmm Approved UMS Na 4640.0042 Approval Expires 6349 <br />~~~ UNR'EDSTAT~ENVOtA.41itN0 (,70N, DC p4(YfBCI'SON ACE6fCY <br />PLUGGING AND ABANDONMBNT <br />NAME AND ADDRR§S OP PACtt,ffY <br />AmaricenSoda L.L.P. <br />274U1 Caurdy Rand 6 <br />REb, Cq 81630 NAIdE AND ADDRR§S OP OWNRR/OPRRATOR <br />Amerken3adn L.L.P. <br />4?17Cannly Road 21B <br />PareehnM, Co. B16i' R <br /> <br />LOCATE WELL AND Oi7fC.WE UNff ON <br />SECCION PLAT m 640 ACRiH 5[ATE <br /> <br />CO. COUNfY <br /> <br />Rla Rinrro PHRMR NUMRRR <br /> <br />C03858~04566 <br /> <br />(.I SURFACE LOCATION DESCRtPfION <br />NW Vi, NW Y~ NW Y+, SeeBun 28.Townahlp ]S Range 97W <br /> X <br />LC>CAT3 W3LL iN TWODIRtiL9'lf)N4 PIt4)M NaAalSl' 61NatiOP(IUARfBRtiHtTItlN ANUORO.LWG UN7 <br /> Snface <br />40' PNL 128%.63 NoNNng <br /> 280'PWL 15494.RB Pao <br /> TYPE OF AUTHORIZATION WEti. ACTIVITY <br />W E X tmEvldnal Permlt <br />p Arm Pormit CLAM <br />p CLAPSR <br /> ® Rak ® RNne Obpoul <br />0 Enhorned Recovery <br /> Nnmber of Welk ~i,a 0 HydravrbonSbreg® <br />® CLASS Ot <br /> Side by Stda Bua17" Cextng Calmplelian <br /> S Laase Name Yankee Gulch Wdl Nnmber 2617 <br />CASR~R', AND TUEING RECORD AFTER PLUGGING 61ETHOD OP EMPLACIStdffi11' OP CEkfEM' PLUC9 <br />mL8 WS'(La/Ply 1'tl 08 pU'C iN WW,I.(Ply 1V ea LWTW WHLL(P7') 2101118148 © The Ualanee MaBwd <br />20" 43 0 40' 24" O The dump Snike k4elhad <br />7" ~ 0 1750' 19" O TMTWo-PIng MMhad <br />7" 26 6 zozsr 19" ~ Dthm <br /> Coll Tnbhlg UnR <br />CEk U!NTINC TO PLUG ANO ABANDONED DATA PLUG Nl PLUG 82 PLUG N3 PLUG N PLUG 85 PLUG N6 PLUG 47 <br />SIae~ Hoie nr Pl In whkh Mu WW Bo Pleeod Mehu 7" L 7' m <br />fti m 8omm of Tnb m DNE Pl R 1730 1727 <br />9acke o f Cement Used mrh 1 216 216 <br />SW Volume Pnm en.R 3819 3813 <br />Ca4ela udT of Pln R Surface 5nr6m <br />Mmmr edT ofPl Rtn R Suehce Surface <br />SW Wt GaL 15b 15b <br />cement ar WMr mnlaNal Clue G G <br />t.H7'ALL OPRN HOtE AND O R PISRFORAT BD INTBRVAL4WHERE CASING WI LL RR VARI ED f <br />Prom To Prom Ta <br /> <br /> <br /> <br /> <br /> <br />1'Imse ndenme attached BLMSundry Pnrm. <br />C~t77FICATION <br />I onNfy ante fla pwratty of the tam ffiat1 haapenorulty axaadmd aad am famlRn mtffi flu 4rJmnatlrm <br />wbmitud/a 266 dorwannt aadatl athrhmenG aad fha;bead na aeg /aldry of ffiow WRWdaaL <br />IarrrudWUly b4 fw obtalnfa8 fhe tafomrrtlout / heluoe fAat the Orfmmatloa to tw, ataawM, <br />aad cmnp4f6l am amen that fAan an elBMf(can[pmaiHn foraabmlttlrr8 fatae IafomuNary drWdirrg <br />rhr Pa+a~bhr afNa .aa ~ fRy. 4o cfR 144x7 <br />NAME AND OPPSCIALTIPI.IS CPimse yprmprMU <br />klax Keeley Pkaerae OpemNmu Nenagal SIGNATURE DATE SIGNED <br />)nly 20.2004 <br />EPA I4um 787414 ~ <br />