Document B5gmyEQ51ZJprmGggLJxQXBgJ

Well Inspection Osage DNR / Environmental Protection Agency 1201 Elm Street, Suite 500 Dallas, Texas 75270 Inspector Matthew Allen Inspection Date 10/02/2024 Time 09:50 Operator Representative Performance Energy Resources, LLC Operator Info Performance Energy Resources, LLC P.O. Box 628 Barnsdall, OK 74002 Phone: 918-847-2531 Inventory ID API Well No Lease Name Well ID OS4629000 HUDSON 3 Location SW 20 27N 12E Status Inactive Well Type Disposal Latitude 36.797145 Longitude -96.043127 Inspection Plugging Witnessed Reason Responsible Company at Performance Energy Resources Time of Inspection Inspect No. Casing 4.5 Date Last MIT 05/14/2004 Tubing Last Test Result USDW Acceptable Monitoring N Device Elected Tubings Annulus AUTHORIZED Monitoring Device Fittings N N Max Pressure 399 FLM Canister Actual Pressure Max Volume Pressure Lease Status 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 Inspector observed surface restoration was completed at the well location. Inspector Signature MATTHEW ALLEN Date: 2024.10.03 15:45:58 -05'00' Digitally signed by MATTHEW ALLEN Supervisor Signature Performance Energy Resources, LLC/Hudson 3 (OS4629000) Inspection Date: 10/02/2024 Appendix 1 Photograph Log 1 Photo UNITED STATES ENVIRONMENTAL PROTECTION AGENCY Photograph Log Location: 36.797145, -96.043127 City: Bartlesville Photo No. 1 County/Parish: Osage State: Oklahoma Photo File Name: R0010517 Orientation: WNW Date of Photo: 9/23/2024 Time of Photo: 9:54 AM Latitude: 36.797145 Longitude: -96.043217 Photographer: Matthew Allen Description: : This was the well location for well OS4629000 after surface restoration had been completed.