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. <br />Form 3160-5 UNITED STATES <br />(February 2005) DEPARTMENT OF THE INTERIOR <br />BUREAU OF LAND MANAGEMENT <br />SUNDRY NOTICES AND REPORTS ON WELLS <br />Do not use this form for proposals to drill or to re-enter an <br />abandoned well. Use Form 3160-3 (dp) for such proposals. <br />SUBMIT IN TRIPLICATE- Other instructions on reverse side. <br />1. Type of II <br />MOil Well0 0 ? Gas We1100 ? Other <br />2. Name of Operator Natural Soda, Inc. <br />3a Address 3b. Phone No. (include area code) <br />3200 RBC 31, Rifle, Co. 81650 970-878-3674 <br />4. Location of Well (Footage, Sec., T., R, M, or Survey Description) <br />Lat: 39.927739N Long: 108.351689W 6699' amsl <br />SEl/4, SEl/4, Section 26, T.1 S., R.98 W., 6th P.M. Rio Blanco County, Colorado <br />FORM APPROVED <br />OM B No. 1004-0137 <br />Expires: March 31, 2007 <br />5. Lease Serial No. <br />Sodium Lease C-0118327 <br />6. If Indian, Allottee or Tribe Name <br />NA <br />7. If Unit or CA/Agreement, Name and/or No. <br />White River Nahcolite <br />8. Well Name and No. <br />10H-C <br />9. API Well No. <br />10. Field and Pool, or Exploratory Area <br />Boies Bed <br />H. County or Parish, State <br />Rio Blanco County, Colorado <br />12. CHECK APPROPRIATE BOX(ES) TO INDICATE NATURE OF NOTICEy REPORT, OR OTHER DATA <br />TYPE OF SUBMISSION TYPE OF ACTION <br />? Acidize ? Deepen ? Production (Start/Resume) ? Water Shut-off <br />?? Notice of Intent ? Alter Casing ? Fracture Treat ? Reclamation ? Well Integrity <br />? Subsequent Report ? Casing Repair El New Construction ? Recomplete ? Other <br />? Change Plans ? Plug and Abandon ? Temporarily Abandon <br />? Final Abandonment Notice ? Convert to Injection <br />? Plug Back ? Water Disposal <br />13. Describe Proposed or Completed Operation (clearly state all pertinent details, including estimated starting date of any proposed work and approximate duration thereof <br />If the proposal is to deepen directionally or recomplete horizontally, give subsurface locations and measured and true vertical depths of all pertinent markers and zones. <br />Attach the Bond under which the work will be performed or provide the Bond No. on file with BLMBIA. Required subsequent reports must be filed within 30 days <br />following completion of the involved operations. If the operation results in a multiple completion or recompletion in a new interval, a Form 3160-4 must be filed once <br />testing has been completed. Final Abandonment Notices must be filed only after all requirements, including reclamation, have been completed, and the operator has <br />determined that the site is ready for final inspection.) <br />IOH-C will be drilled to verify the location of the Boies Beds in the eastern half of the IOH cavity. NSI intends to convert this well to a monitor <br />well. <br />Please see the attached cover sheet, figures and drawings for additional information. <br />14. 1 hereby certify that the foregoing is true and correct <br />Name (Printed/Typed) <br />Bob Warneke I Title Manufacturing Director <br />Signature r Oob I -I 5 f I Date ) 0-13 <br />THIS SPACE FOR FEDERAL OR STATE OFFICE USE <br />Approved t - Title Date <br />------------------------- <br />Conditions of approval, if any, are attached. Approval of this notice does not warrant or <br />certify that the applicant holds legal or equitable title to those rights in the subject lease Office <br />which would entitle the applicant to conduct operations thereon. <br />Title 18 U.S.C. Section 1001 and Title 43 U.S.C. Section 1212, make it a crime for any person knowingly and willfully to make to any department or agency of the United <br />States any false, fictitious or fraudulent statements or representations as to anymatter within its jurisdiction. <br />(Instructions on page 2)