| Engineer | Form: (02) 400249530 02/28/2012 | (1) COMPLIANCE WITH THE MOST CURRENT REVISION OF THE NORTHWEST COLORADO NOTIFICATION POLICY IS REQUIRED.
(2) GARFIELD COUNTY RULISON-FIELD NOTICE TO OPERATORS. NOTE: ALL NOTICES SHALL BE GIVEN VIA E-MAIL. SEE ATTACHED NOTICE.
(3) APPROVAL OF THIS FORM DOES NOT AUTHORIZE INJECTION. AUTHORIZATION TO INJECT REQUIRES APPROVAL OF FORM 31 AND FORM 33.
(4) BEFORE STIMULATING THE WELL, CAPTURE A WATER SAMPLE FROM THE UPPER WILLIAMS FORK FORMATION AND ANALYZE FOR TOTAL DISSOLVED SOLIDS. SUBMIT LAB ANALYSIS TO DENISE.ONYSKIW@STATE.CO.US
(5) IF OPERATOR DOES A STEP-RATE TEST, SEND THE RESULTS TO DENISE.ONYSKIW@STATE.CO.US SO A FRAC GRADIENT CAN BE CALCULATED.
(6) IF OPERATOR DOES AN INJECTIVITY TEST, THEY ARE LIMITED TO 10,000 BBLS OVER TEN DAYS.
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