Document DMkXQrVNO6YMOaG8nXDyp4ELa

Inspection Report Addendum for Well: MT20000-01111 Inspection Date: 10/25/2023 U.S. Environmental Protection Agency Region 8 Facility Location: MT20000-01111 (101-W4), Glacier County, UT Date Photograph Taken: 10/25/2023 Photo No. Time: 1 of 3 10:11 am Photo Description: Wellhead was observed to be disconnected from pipe flowline (left of the wellhead). UIC PHOTOGRAPHIC LOG Photographer: Gary Wang Camera: Ricoh WG-5 U.S. Environmental Protection Agency Region 8 Facility Location: MT20000-01111 (101-W4), Glacier County, UT Date Photograph Taken: 10/25/2023 Photo No. Time: 2 of 3 10:13 am Photo Description: Operator opened tubing master ball valve to check tubing pressure. Well showed no pressure in tubing. Records show operator reported mechanical integrity loss on the well on 2/27/2023. EPA responded with Notice of noncompliance letter on 3/2/2023. No follow up correspondence regarding mechanical integrity status since NON issuance. UIC PHOTOGRAPHIC LOG Photographer: Gary Wang Camera: Ricoh WG-5 1 Inspection Report Addendum for Well: MT20000-01111 Inspection Date: 10/25/2023 U.S. Environmental Protection Agency Region 8 Facility Location: MT20000-01111 (101-W4), Glacier County, UT Date Photograph Taken: 10/25/2023 Photo No. Time: 3 of 3 10:11 am Photo Description: Tubing-casing annulus observed to be maintained continuously open to atmospheric pressure. UIC PHOTOGRAPHIC LOG Photographer: Gary Wang Camera: Ricoh WG-5 LIANG Digitally signed by LIANG WANG WANG Date: 2023.11.17 18:20:35 -07'00' ______________________ Inspector signature ______________________ Inspector signature ______________________ Inspector signature 2