Document 5kGD6MxknJLGr51MQEJ3xZN15
Inspector
Well Inspection
Osage DNR / Environmental Protection Agency
1201 Elm Street, Suite 500
Dallas, Texas 75270
Matthew Allen
Inspection Date 05/13/2025
Time 09:00
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
OS6273034
NBU 15-W21
Location SW 11 27N 05E
Status Active
Well Type Enhanced
Recovery
Latitude 36.828024
Longitude -96.741543
Inspection Plugging Witnessed Reason
Responsible Company at CapturePoint, LLC Time of Inspection
Inspect No. Casing 4.5
Date Last MIT 01/14/2020 Tubing
Last Test Result USDW
Acceptable
Monitoring N Device Elected
Tubings Annulus
AUTHORIZED
Monitoring Device
Fittings N
N
Max Pressure 850
FLM Canister
Actual Pressure
Max Volume 124000
Pressure
Lease Status Active
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
Top of cement for the middle plug was tagged at 1396 feet below surface. 10lb/gal mud was placed from 1396 to 400 feet below surface. Well OS6273034 was perforated
beginning at 350' below surface. 100 sacks of class A cement was circulated from 400
feet to surface. Well OS6273000 plugging procedures were completed as approved by
EPA.
Inspector Signature
MATTHEW ALLEN Date: 2025.06.10 13:08:30 -05'00' Digitally signed by MATTHEW ALLEN
Supervisor Signature
JEANNE ECKHART Date: 2025.07.02 06:41:46 -05'00' Digitally signed by JEANNE ECKHART
CapturePoint, LLC/ North Burbank Unit (OS06273034) Inspection Date: 5/13/2025
Appendix 1 Photograph Log
1 Photo
UNITED STATES ENVIRONMENTAL PROTECTION AGENCY
Photograph Log
Location: 36.828024, -96.741543 City: Shidler
Photo No. 1 County/Parish: Osage
State: Oklahoma
Photo File Name: R0010668 Orientation: N Date of Photo: 5/13/2025 Time of Photo: 11:00 AM Latitude: 36.828024 Longitude: -96.741543 Photographer: Matthew Allen Description: This was well OS6273034 with cement circulated to the surface.