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.:.. <br />~~//~~ Form Approved UMB No 2090-0042 Approval Expires 6-30-9 <br />\~Er/'1 UNITED SCATFS ENVIRONMENTAL PROTFiCI'[ON AGENCY <br />WASHINGTON, DC 20950 <br />PLUGGING AND ABANDONMENT <br />NAME AND ADDRF~ OF FACdTC1' NAME AND ADDRE$ OF OWNER/OPERATOR <br />Amsicen Soda LLP. Amerirffir Soda LLP. <br />27991 County Road 5 2717Comtq Raad n5 <br />Ride, Co, 81650 ParadrulG, Co, 81635 <br />SPATE WIJNIY PERI.fff NUMBER <br />LOCATE WELL AND OUTLINE UNTI ON <br />SECTION 1'I.AT -690 ACRFG Lb. Rio Blanco GD385B41465J <br />SURFACE LOCATION D65CRIPITON <br />N NW Yr NE Y., Section 29, 7owrsldp 1S Range 97W <br />X <br />LOCATE WELL RJTWO DIRECL'IDNSEROM NPARPSFLRJES OFQUARTFR SECI'fONAND DIUILPIG I1NII <br />Surface <br />412' FNL 125W.40 Nordring <br />n59'FEL 1295208 <br />TYPE OF AUTHORIZATION WELL. ACI'N11'Y <br />W E X Individual Pemdt Q.ASS I <br />p Area Permit ~ cLn55 n <br />n Rule o Brine Disposal <br />D Enhanttd Recovsy <br />Number of Wells _S_ p Hydro®rWnSt~rage <br />® Q.ASS m <br />Side by Side Dual T Casing <br />Completion <br />3 Tease Name Yankee Gukh WeB Numbs 29-78 <br />CASING AND TUBING RL{]ORD AFIBR PLUGGING METHOD OF EbII'f.ACEIv1FNP OF CEMENT <br />PLUG <br />56E WT08/tT) TO BB 1R7rIN lU BE IEFI'IN WELL(FI) ERNE O The Balance Method <br />WE 577E <br />24" 95 0 78' 30" ~ The dump Bads Method <br />T 26 0 206T 19" O The Two-Plug Method <br />r' 26 0 2204• 19" X Oths <br />Cod Tubing Unit <br />CEMENTING 1Yl PLUG AND ABANDONED DATA PLUG PLUG PLUG PLUG i4 PLUG PWG PLUG <br />it ir2 i3 i5 iG i7 <br />Size of Hole or Pi in which Pl Will Be Placed urlrs T <br />Oo Bottom of T or Drill ft 1840 <br />Sacla of Cement Used earl u 380 <br />S7 Volume cu. ft 497,8 <br />CalculatedT of Pl ft Surface <br />Measured To of R if ft Surface <br />SI Wt b./GaL 15.6 <br />T cement or orbs material Class T G <br />IlSC ALL OPEN HOLE AND/OR PERCORATED INTERVALS WI IEFCE CASING WILT. BE VARBID (' ) <br />From 7o Fmmr To <br />Please refemrcc attached BLM Sundry Form. <br />CERTIFICATION <br />I terrify andrr the pnuleq of ehe tom that I haft ynsoaauy vamirred and amfnmiliar roia, dx fyon,wam~ <br />sabmitted in t)ws doaurrentand a7! artadarrrnts and thak based on my ingairy of those iadiuifiarls <br />immediately rrsPonsrbleJor obtainrag thr hrformafian, I belirar ffiat tAr irrforaratimr is bpe, aecgo/r, <br />and romplete. I am amax that WerB ore signrJumrtpemdtirs forsabmittlngfalse rr[Jmmatiary hrdading <br />thr possrbility of fore and imprisoamrnt (Ref 40 CFR 144.32 <br />NAME AND OFFICIAL TIlI.E (P/mse type orpnnt) SIGNATURE DATE SIGNED <br />Ed Cooley Envuonmental Consultant ~ ® nr November 12, 2006 <br />EPA Form7520-14 <br />