Document 3N5Z4aGYz8jg5pKKVJBM22VqE

Well Inspection Osage DNR / Environmental Protection Agency 1201 Elm Street, Suite 500 Dallas, Texas 75270 Inspector Matthew Allen Inspection Date 10/01/2024 Time 14:40 Operator Representative CapturePoint, LLC Operator Info CapturePoint, LLC 1101 Central Expwy S., Suite 150 Allen, TX 75013 Phone: 832-300-8221 Inventory ID API Well No Lease Name Well ID OS4674000 Burbank S J-W15 Location SW 03 25N 06E Status Inactive Well Type Enhanced Recovery Latitude 36.673477 Longitude -96.64076 Inspection Plugging Witnessed Reason Responsible Company at CapturePoint, LLC Time of Inspection Inspect No. Casing 5.5 Date Last MIT 05/20/2014 Tubing Last Test Fail Result USDW Monitoring N Device Elected Tubings Annulus AUTHORIZED Monitoring Device Fittings N N Max Pressure 270 FLM Canister Actual Pressure Max Volume Pressure Lease Status Determined? Max Inj Units Barrels Per Month Barrel Monitor N Hooked Up? Static Fluid Level Barrel Fluid Level (%) Determined? Flowline Hooked N Injection Rate Up? (bpd) Injecting N Inspection Comments Inspector observed surface restoration was completed at the well location. Inspector Signature MATTHEW ALLEN Date: 2024.10.03 15:41:52 -05'00' Digitally signed by MATTHEW ALLEN Supervisor Signature JEANNE ECKHART Date: 2024.10.07 11:30:21 -05'00' Digitally signed by JEANNE ECKHART CapturePoint, LLC/ South Burbank Unit (OS4674000) Inspection Date: 10/01/2024 Appendix 1 Photograph Log 1 Photo UNITED STATES ENVIRONMENTAL PROTECTION AGENCY Photograph Log Location: 36.673477, -96.64076 City: Burbank Photo No. 1 County/Parish: Osage State: Oklahoma Photo File Name: R0010515 Orientation: SSE Date of Photo: 10/01/2024 Time of Photo: 2:42 PM Latitude: 36.673477 Longitude: -96.64076 Photographer: Matthew Allen Description: This was the location for well OS4674000 with surface restoration completed.