| Engineer | Form: (04) 401192580 02/01/2017 | 1)Operator shall comply with the most current revision of the Northwest Colorado Notification Policy. |
| Engineer | Form: (04) 402588027 02/03/2021 | 1) Report work completed with a Form 4 Sundry REPORT OF WORK DONE - Repair Well noting final pressure test results.
2) If repair requires more than casing replacement, contact area engineer
3) If wellbore geometry changes, submit changes on a Form 5
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