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Form Approved UMB No 2040-0042 Approval Expires 6-30-9 <br />8410 ?? UNITED STATES ENVIRONMENTAL PROTECTION AGENCY <br />WASHINGTON, DC 20460 <br />PLUGGING AND ABANDONMENT <br />NAME AND ADDRESS OF FACILITY <br />American Soda L.L.P. <br />27991 County Road 5 <br />Rifle, Co, 81650 NAME AND ADDRESS OF OWNER/OPERATOR <br />American Soda L.L.P. <br />2717 County Road 215 <br />Parachute, Co, 81635 <br /> <br />LOCATE WELL AND OUTLINE UNIT ON <br />SECTION PLAT---- 640 ACRES STATE <br /> <br />CO. COUNTY <br /> <br />Rio Blanco PERMIT NUMBER <br /> <br />C03858-04577 <br /> <br />N SURFACE LOCATION DESCRIPTION <br />1/ of 1/ of 1/4 of 1/ of Section 29 Township 1S Range 97W <br />646'S. and 1695'W. of NE corner of Section 29, Township 1S, Range 97W 6" P.M. <br /> LOCATE WELL IN TWO DIRECTIONS FROM NEAREST LINES OF QUARTER SECTION AND DRILLING UNIT <br /> Surface Location 99' (N) from NW section comer and 2490' (E) from comer of Section 29 <br /> Elevation Casing Head = 6384' Elevation Ground Level = 6382' <br />12,489.50 Eastin 12,740 Northing <br /> TYPE OF AUTHORIZATION WELL ACTIVITY <br />W E X Individual Permit <br />? Area Permit CLASS I <br />? CLASS H <br /> ? Rule ? Brine Disposal <br />? Enhanced Recovery <br /> Number of Wells _1_ ? Hydrocarbon Storage <br />O CLASS III (Nahcolite Production Well) <br /> X Side by Side Dual 7" Casing Completion <br />S Lease Name Yankee Gulch Well Number 29-34 <br />CASING AND TUBING RECORD AFTER PLUGGING METHOD OF EMPLACEMENT OF CEMENT PLUGS <br />SIZE WT(LB/FT) TO BE PUT IN WELL(FT) TO BE LEFT IN WELL(FT) HOLE SIZE ? The Balance Method <br />24" 95# - ERW 0 80' 24" ? The dump Bailer Method <br />7" 26# - J-55 & <br />N-80 0 1861' (short string) 19" ? The Two-Plug Method <br />7" 26# -J-55 & <br />N-80 0 2177' (long string) 19" X Other <br />Coil Tubing Unit <br />CEMENTING TO PLUG AND ABANDONED DATA PLUG #1 PLUG #2 PLUG #3 PLUG #4 PLUG #5 PLUG #6 PLUG #7 <br />Size of Hole or Pipe in which Plug Will Be Placed (inches) 7" (Short) <br />Depth to Bottom of Tubing or Drill Pipe (ft.) 1626' <br />Depth to Cast Iron Bridge Plug (ft.) 1625' <br />Sacks of Cement Used (each plug) 310 <br />Slur Volume Pumped (cu. ft.) 357 <br />Calculated To of Plug (ft.) Surface <br />Measured To of Plug (if tagged ft.) Surface <br />Slurry Wt. (Lb. /Gal.) 15.8 <br />Type cement or other material (Class III) Type G <br />LIST ALL OPEN HOLE AND/OR PERFORATED INTERVALS WHERE CASING WILL BE VARIED (i an ) <br />From To From To <br /> <br /> <br /> <br /> <br /> <br />October _, 2010 - Dissolution surface at 1598'. Well plugged and abandoned to Cast Iron Bridge Plug set at <br />1625'. Coil tubing placement of cement at bridge plug (1625'). Pumped 310 sacks of Type G, 15.8 pounds/gallon, <br />1.15 ft3/sack cement in the short string 7" casing. Lon string 7" casing remains in stand-by. <br />CERTIFICATION <br />I certify under the penalty of the law that I have personally examined and am familiar with the information <br />submitted in this document and all attachments and that, based on my inquiry of those individuals <br />immediately responsible for obtaining the information, I believe that the information is true, accurate, <br />and complete. I am aware that there are significant penalties for submitting false information, including <br />the possibility of fine and imprisonment. (Ref. 40 CFR 144.32 <br />NAME AND OFFICIAL TITLE (Please type or print) <br />Todd Wilson Plant Manager SIGNATURE DATE SIGNED <br />October _, 2010 <br />EYA Form 7520-14