Document 6BkXmMJvqVNvZGjJ9X8mDOJzg

Inspector Inspection Due Operator Info Location Well Inspection Osage DNR / Environmental Protection Agency 1201 Elm Street, Suite 500 Dallas, Texas 75270 Matthew Allen Inspection Date 12/21/2022 Time 11:15 2021-04-03T00:00:00Z Operator Representative Grace Energy Management, Inc. Grace Energy Management, Inventory ID OK0088000 Inc. P.O. Box 515 Cement, OK 73017 Phone: 405-489-7126 API Well No Lease Name Well ID SECPSU (Kla-Da-Ing 1) 1-1 NW 10 05N 09W Status Active Well Type Enhanced Recovery Latitude 34.924817 Longitude -98.1399 Inspection Reason MIT Responsible Company at Time Grace Energy Management of Inspection Inspect No. Date Last MIT 01/31/2017 Last Test Result Acceptable Casing 5.5 Tubing 2.375 USDW Monitoring N Device Elected Monitoring Device FLM Canister Tubings Fittings N Actual Pressure 0 Annulus N AUTHORIZED Max Pressure 641 Max Volume 300 Pressure Lease Status Determined? Max Inj Units Barrels Per Month Barrel Monitor N Hooked Up? Barrel Fluid Level (%) Flowline Hooked Y Static Fluid Level Determined? Injection Rate Up? (bpd) Injecting N Inspection Comments Inspector witnessed Standard Annulus Pressure Test (SAPT) on well OK0088000. Pressure, hold OK. I observed no areas of concern at the time of the inspection. EPA enforcement staff will review inspection data to determine compliance with EPA UIC regulations. Initial: 220psi Mid: 220psi Final: 220psi Pressure Hold OK Inspector Signature Supervisor Signature Total flowback: 7,500ml MATTHEW ALLEN Date: 2022.12.23 15:49:26 -06'00' Digitally signed by MATTHEW ALLEN JEANNE ECKHART Date: 2023.01.04 07:14:54 -06'00' Digitally signed by JEANNE ECKHART Grace Energy Management/ SECPSU Lease - OK0088000 Inspection Date: 12/21/2022 Appendix 1 Photograph Log 2 Photos UNITED STATES ENVIRONMENTAL PROTECTION AGENCY Photograph Log Location: 34.924817, -98.1399 City: Verden Photo No. 1 County/Parish: Grady State: Oklahoma Photo File Name: R0010012 Orientation: N Date of Photo: 12/21/2022 Time of Photo: 11:33 AM Latitude: 34.924817 Longitude: -98.1399 Photographer: Matthew Allen Description: OK0088000 well sign. UNITED STATES ENVIRONMENTAL PROTECTION AGENCY Photograph Log Location: 34.924817, -98.1399 City: Verden Photo No. 2 County/Parish: Grady State: Oklahoma Photo File Name: R0010013 Orientation: N Date of Photo: 12/21/2022 Time of Photo: 11:34 AM Latitude: 34.924817 Longitude: -98.1399 Photographer: Matthew Allen Description: Well, OK0088000 with EPA gauge and bleeder assembly attached, well pressured and being observed during MIT.