Document GK0JJRD8ar9d9mO3zX7zoY6Em

Inspector Inspection Due Operator Info Location Latitude Inspection Reason Inspect No. Well Inspection Osage DNR / Environmental Protection Agency 1201 Elm Street, Suite 500 Dallas, Texas 75270 Matthew Allen 2019-01-17T00:00:00Z Inspection Date 09/20/2022 Time 09:30 Operator Representative CapturePoint, LLC (formerly Perdure Petroleum, LLC) CapturePoint, LLC (formerly Perdure Petroleum, LLC) 1101 Central Expwy S., Suite 150 Allen, TX 75013 Phone: 832-300-8221 Inventory ID API Well No Lease Name Well ID OS0406000 North Burbank Unit 60-W25 NW 30 27N 06E Status Inactive Well Type Enhanced Recovery 36.795397 Longitude -96.707127 Fluid Level Monitoring Responsible Company at Time CapturePoint, LLC of Inspection Date Last MIT 10/13/1999 Last Test Result Acceptable Casing 4.5 Tubing 2.375 USDW Monitoring N Device Elected Monitoring Device FLM Canister Pressure Lease Status Barrel Monitor N Hooked Up? Barrel Fluid Level (%) Flowline Hooked N Up? Tubings Annulus Fittings Y Y Actual Pressure 0 0 Determined? Other Static Fluid Level Determined? Injection Rate (bpd) Echo Meter Open Value AUTHORIZED Max Pressure 803 Max Volume Max Inj Units Barrels Per Month Injecting N Inspection Comments At the time of the inspection, the operator reported the casing of well OS0406000 was parted approximately 90 feet below the surface. At the time of the inspection, I observed the fluid level down the tubing and the casing to be at 98.70 feet with the EPA Echometer. At the time of the inspection, I observed 0 psi pressure on the casing and tubing of the well. Inspector Signature MATTHEW ALLEN Digitally signed by MATTHEW ALLEN DN: c=US, o=U.S. Government, ou=Environmental Protection Agency, cn=MATTHEW ALLEN, 0.9.2342.19200300.100.1.1=68001004162907 Date: 2022.09.30 15:13:33 -05'00' Supervisor Signature JEANNE ECKHART Date: 2022.10.05 08:46:04 -05'00' Digitally signed by JEANNE ECKHART CapturePoint, LLC/ North Burbank Unit (OS0406000) Inspection Date: 09/20/2022 Appendix 1 Photograph Log 2 Photos UNITED STATES ENVIRONMENTAL PROTECTION AGENCY Photograph Log Location: 36.795397, -96.707127 City: Shidler Photo No. 1 County/Parish: Osage State: Oklahoma Photo File Name: DSCN0804 Orientation: n/a Date of Photo: 09/20/2022 Time of Photo: 9:29 AM Latitude: 36.795397 Longitude: -96.707127 Photographer: Matthew Allen Description: This was the well sign for well OS0406000 (NBU 60-W25). UNITED STATES ENVIRONMENTAL PROTECTION AGENCY Photograph Log Location: 36.795397, -96.707127 City: Shidler Photo No. 2 County/Parish: Osage State: Oklahoma Photo File Name: DSCN0805 Orientation: E Date of Photo: 09/20/2022 Time of Photo: 9:30 AM Latitude: 36.795397 Longitude: -96.707127 Photographer: Matthew Allen Description: This was well OS0406000.