Document 8g86XzVrGkYGLZRMpO7Gy0e
Inspector
Well Inspection
Osage DNR / Environmental Protection Agency
1201 Elm Street, Suite 500
Dallas, Texas 75270
Michael Blaha
Inspection Date 04/17/2024
Time 12:58
Operator Representative Beckham And Butler
Operator Info
Beckham And Butler 1124 South Price Hominy, OK 74035 Phone: 918-885-4406
Inventory ID API Well No Lease Name
Well ID
OS5248000
Pershing 6AI
Location NE 01 24N 09E
Status Active
Well Type Enhanced
Recovery
Latitude 36.59122
Longitude -96.286367
Inspection Routine Reason
Responsible Company at Beckham and Butler Time of Inspection
Inspect No. Casing 4.5
Date Last MIT 04/12/2017 Tubing
Last Test Result USDW
Acceptable
Monitoring N Device Elected
Tubings Annulus
AUTHORIZED
Monitoring Device
Fittings N
N
Max Pressure 550
FLM Canister
Actual Pressure
Max Volume 30000
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
The well was converted to production and not hooked up during the time of inspection. Two photographs were taken during the inspection and can be seen in the Inspection
Photo Log.
Inspector Signature
MICHAEL BLAHA Date: 2024.05.16 23:14:07 -05'00' Digitally signed by MICHAEL BLAHA
Supervisor Signature
JEANNE ECKHART Date: 2024.05.20 11:45:08 -05'00' Digitally signed by JEANNE ECKHART
Beckham and Butler / OS5248000 (SDWA) Inspection Date 4/17/2024
Appendix 1 Photograph Log
2 Photos
UNITED STATES ENVIRONMENTAL PROTECTION AGENCY
Photograph Log
Location: 36.591251, -96.286282 City: Pawhuska
Photo No. 1 County/Parish: Osage
State: Oklahoma
Photo File Name: R0010369 Orientation: W Date of Photo: 4/17/2024 Time of Photo: 12:57 PM Latitude: 36.591251 Longitude: -96.286282 Photographer: Michael Blaha Description: This photo was taken looking W showing the well sign.
UNITED STATES ENVIRONMENTAL PROTECTION AGENCY
Photograph Log
Location: 36.591251, -96.286282 City: Pawhuska
Photo No. 2 County/Parish: Osage
State: Oklahoma
Photo File Name: R0010370 Orientation: NNW Date of Photo: 4/17/2024 Time of Photo: 12:57 PM Latitude: 36.591253 Longitude: -96.286241 Photographer: Michael Blaha Description: This photo was taken looking NNW showing the well converted to production.