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 FORM APPROVED
Quite 1990) DEPARTMINTOF THEINTERIOR iSvdget8,asevNalW4-Old
Ex uec Much 31, 19Ri
BUREAU OF LAND MANAGEMENT s, tome Denigneuon end senol Na
Yankee Gulch CO-118328
SUNDRY NOTICES AND REPORTS ON WELLS
Do not use this form for proposals to drill or to deepen or reentry to a different reservoir. s, uloal.n. Albuee orTr3e Nerve
Use"APPLICATION FOR PERMIT--" far such N/A
SUBMIT IN TRIPLICATE r, auoa o<cA A~,ent nee;g„uo.,
NA
1. Type a4 WeB &weaNmpeoa Na
^ Oil Well ^ Gas Well ®Other Nahcolite Solution Minfn American Soda LLP 29-51
2 Name of Operator 9. API Well Na
American Soda, L.LP.
3. Address and Telephone No. la Fw]d eml Pool or Exploremty Aree
2717 C . Rd. 215 Parachute, CO $1635 470 28Cr6S00 Central Piceance Creek Basin
4. London of WeB (Footage, Sec., T., R., M., or Survey Description) tt. couoey m Pe.;ehs<elo
NE r/i of NH t/i of Section 29, T[S, R97W 6® P.M. Ria Blanco, CO
TYPE OF SUBML$ION ~ TYPE OF ACTION
^ Notice of Intent ~ ^ Abandonment
^ Recompletion
®Subsequent Reports ®Plugging Back
^ Casing Repair
^ Final Abandonment Notice ^ Altering Casing
X Other: Plug Surface Hole
^ Change of Plans
^ New Construction
^ Non-Routine Fracturing
^ Water Shut-0ff
^ Conversion to Injection
^ Dispose Water
INaie Repoamou.mmdtipe,mpletimmwea
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aon m~ra ma na<r~t apm ~+o morn. m mm peaamt m mv..~p
Drilling was initiated on weB 29-51 during Fall, 2003. The weB was being drilled when llte derision to truncate dritli^o was relayed to the
operations group. The well was drilled to approximately 250 feet before the drilling was truncated. The well was capped awaiting a derision
for drilling of the well to be completed.
6/18/2004 Halliburton pumped 400 sacks of 15.6 #/gal, Type G, 35% SSA, 0.2 CFR-3 cement and filled the 19" wellbore to the surfam.
7/8/2004 Stewart Welding cutoff the wellhead, capped the 20" casing, and labeled the cap.
14. I hereby certify that the foregoing
Signed
(This space for Federal or State office use)
Conditinns of approval, if any;
Title 18 U.S.C. Section 1001, makes it a criule for any person knowingly and willfully to make to any department or agency of the United
States any false, fictitious or fraudulent statements or representations as to any matter within its jurladiction
`See Instruction on Reverse Side