Document 5QrL3bnXNXobdq5mReRKezq4
Inspector
Well Inspection
Osage DNR / Environmental Protection Agency
1201 Elm Street, Suite 500
Dallas, Texas 75270
Matthew Allen
Inspection Date 09/23/2024
Time 12:30
Operator Representative Performance Energy Resources, LLC
Operator Info
Performance Energy Resources, LLC P.O. Box 628 Barnsdall, OK 74002 Phone: 918-847-2531
Inventory ID API Well No Lease Name
Well ID
OS4530000
JACKSON 12
Location SE 03 24N 11E
Status Inactive
Well Type Disposal
Latitude 36.582553
Longitude -96.107735
Inspection Plugging Witnessed Reason
Responsible Company at Performance Energy Resources Time of Inspection
Inspect No. Casing 4.5
Date Last MIT 01/23/2018 Tubing 2.375
Last Test Fail Result USDW
Monitoring N Device Elected
Tubings Annulus
AUTHORIZED
Monitoring Device
Fittings N
N
Max Pressure 542
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 Speedy Well Service (SWS) run in well OS4530000 to 2050 feet below land surface and spot 10 sacks of class A cement. SWS pulled up hole and shut
down until 9/24/2024 to allow bottom plug to harden.
Inspector Signature
MATTHEW ALLEN Date: 2024.09.25 11:48:35 -05'00' Digitally signed by MATTHEW ALLEN
Supervisor Signature
JEANNE ECKHART Date: 2024.09.27 10:01:25 -05'00' Digitally signed by JEANNE ECKHART