Document 8Vn3myJX09YQe4G87wV5ZYBnm

Inspector Operator Info Well Inspection Osage DNR / Environmental Protection Agency 1201 Elm Street, Suite 500 Dallas, Texas 75270 Matthew Allen Inspection Date 01/16/2025 Time 08:20 Operator Representative 4D Oil & Gas, LLC 4D Oil & Gas, LLC Inventory ID OS5447000 532 Kihekah Pawhuska, OK 74056 Phone: 580-541-5802 API Well No Lease Name Well ID BLUE STEM 3-36 Location NW 36 26N 08E Latitude 36.689975 Status Inactive Well Type Disposal Longitude -96.399951 Inspection Reason Inspect No. Plugging Witnessed Casing 5.5 Responsible Company at Time of Inspection Date Last MIT 10/16/2012 Tubing 4D Oil & Gas, LLC Last Test Result USDW Acceptable Monitoring N Device Elected Monitoring Device FLM Canister Pressure Tubings Annulus Fittings N N Actual Pressure AUTHORIZED Max Pressure 580 Max Volume 30000 Lease Status Inactive Determined? Max Inj Units Barrels Per Month Barrel Monitor N Static Fluid Level Hooked Up? Barrel Fluid Level Determined? (%) Flowline Hooked N Injection Rate Up? (bpd) Injecting N Inspection Comments Inspector observed the location of well OS5447000. At the time of the inspection, surface restoration was complete. Inspector Signature MATTHEW ALLEN Date: 2025.02.13 15:26:54 -06'00' Digitally signed by MATTHEW ALLEN Supervisor Signature JEANNE ECKHART Date: 2025.02.18 07:37:39 -06'00' Digitally signed by JEANNE ECKHART 4D Oil & Gas, LLC/Bluestem Lease (OS5447000) Inspection Date: 01/16/2025 Appendix 1 Photograph Log 1 Photo UNITED STATES ENVIRONMENTAL PROTECTION AGENCY Photograph Log Location: 36.689975, -96.399951 City: Pawhuska Photo No. 1 County/Parish: Osage State: Oklahoma Photo File Name: R0010563 Orientation: ESE Date of Photo: 01/16/2025 Time of Photo: 9:21 AM Latitude: 36.689975 Longitude: -96.399951 Photographer: Matthew Allen Description: This was the location of well OS5447000 with the casing cutoff 3 feet below land surface. Surface restoration completed.