Document 93paDZvaXeqRQnnEMd610nmR7

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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 01/18/2023 Time Operator Representative CapturePoint, LLC Petroleum, LLC) CapturePoint, LLC (formerly Inventory ID OS6273131 Perdure Petroleum, LLC) 1101 Central Expwy S., Suite 150 Allen, TX 75013 API Well No Lease Name Well ID NBU 14-02 Phone: 832-300-8221 SE 02 27N 05E Status Proposed Injection Well Type Well 10:05 (formerly Perdure Enhanced Recovery Latitude 36.82632 Longitude -96.75145 Inspection Reason MIT Responsible Company at Time CapturePoint, LLC of Inspection Inspect No. Date Last MIT Last Test Result Casing 4 Tubing 2.0625 USDW Monitoring N Device Elected Monitoring Device FLM Canister Tubings Fittings N Actual Pressure 140 Annulus N 0 AUTHORIZED Max Pressure 850 Max Volume 124000 Pressure Lease Status Active Barrel Monitor N Hooked Up? Barrel Fluid Level (%) Flowline Hooked N Determined? Static Fluid Level Compan y Gage Determined? Injection Rate Open Value Max Inj Units Barrels Per Month Up? (bpd) Injecting N Inspection Comments Inspector witnessed Standard Annulus Pressure Test (SAPT) on well OS6273131. 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: 410psi Mid: 410psi Final: 410psi Pressure Hold OK Inspector Signature Supervisor Signature Total flowback: 5600ml MATTHEW ALLEN Date: 2023.01.30 12:35:06 -06'00' Digitally signed by MATTHEW ALLEN JEANNE ECKHART Date: 2023.01.30 12:46:59 -06'00' Digitally signed by JEANNE ECKHART CapturePoint, LLC/ North Burbank Unit OS6273131 Inspection Date: 01/18/2023 Appendix 1 Photograph Log 1 Photo UNITED STATES ENVIRONMENTAL PROTECTION AGENCY Photograph Log Location: 36.82632, -96.75145 City: Shidler Photo No. 1 County/Parish: Osage State: Oklahoma Photo File Name: R0010042 Orientation: NW Date of Photo: 01/18/2023 Time of Photo: 10:19 AM Latitude: 36.82632 Longitude: -96.75145 Photographer: Matthew Allen Description: This was well OS6273131 at the time of inspection.