Document BvVLoDq6KwnJzBdzV2e8qexBk

Inspector Operator Info Well Inspection Osage DNR / Environmental Protection Agency 1201 Elm Street, Suite 500 Dallas, Texas 75270 Matthew Allen Inspection Date 10/15/2024 Operator Representative Park WM Park WM Inventory ID OS2440000 P.O. Box 718 Skiatook, OK 74070 Phone: 918-288-7752 API Well No Lease Name Well ID TBD W-11 Time 08:40 Location NE 22 20N 12E Latitude 36.199793 Status Inactive Longitude Well Type -96.008397 Enhanced Recovery Inspection Reason Inspect No. Plugging Witnessed Casing 4.5 Responsible Company at Time of Inspection Date Last MIT Tubing Park WM Last Test Result USDW Monitoring N Device Elected Monitoring Device FLM Canister Pressure Tubings Annulus Fittings N N Actual Pressure AUTHORIZED Max Pressure Max Volume Lease Status Barrel Monitor N Hooked Up? Barrel Fluid Level (%) Flowline Hooked N Up? Determined? Static Fluid Level Determined? Injection Rate (bpd) Max Inj Units Barrels Per Month Injecting N Inspection Comments Inspector observed completed surface restoration at well OS2440000. Inspector previously witnessed well plugging operations on 9/9/2024. Inspector Signature MATTHEW ALLEN Date: 2024.10.15 15:47:03 -05'00' Digitally signed by MATTHEW ALLEN Supervisor Signature JEANNE ECKHART Date: 2024.10.28 16:38:20 -05'00' Digitally signed by JEANNE ECKHART Park WM/Tulsa Lease (OS2440000) Inspection Date: 10/15/2024 Appendix 1 Photograph Log 1 Photo UNITED STATES ENVIRONMENTAL PROTECTION AGENCY Photograph Log Location: 36.199793, -96.008397 City: Tulsa Photo No. 1 County/Parish: Osage State: Oklahoma Photo File Name: R0010524 Orientation: NNW Date of Photo: 10/15/2024 Time of Photo: 8:42 AM Latitude: 36.199793 Longitude: -96.008397 Photographer: Matthew Allen Description: This was the location of well OS2440000 after surface restoration was completed.