Document KRGDeDzxOzkxb1Km4n98kZobw

Inspection Report Mechanical Integrity Test Osage DNR / Environmental Protection Agency 1201 Elm Street, Suite 500 Dallas TX 75270 Inspector Matthew Allen MIT Date 06/26/2024 Operator Representative Performance Energy Resources, LLC Report Sent Operator Time 10:00 Inject Interval 1748 - 1778 USDW 240 Well Type Disposal Annulus Fluid Type Water Casing 4.5 Concentric Pkr Tubing 2.375 Packer Depth 1675 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 OS5624000 QUAPAW 200 Location NW 21 25N 11E Type of MIT Casing - Tubing Annulus Pressure Test Reason Routine Injecting Y Injection Rate (bpd) Tubular Lining Ann Filled (hrs) MIT Due 08/30/2022 MIT Freq EVERY FIVE YEARS Ann Press Mont Time Pre-Test Tubing Pressure 0 Annulus Pressure 0 Flowback Pressure High 200 Volume Initial 10:00 0 200 Mid 10:15 0 200 Mid 100 Low 20 1400 1400 Final 10:30 0 200 End 0 500 Total Volume 3300 ADA Pressure Test - Required Test Pressure (Fluid Column Ht * Specific Gravity * .433 / N2 Wt Fac = Required Test Pressure) Tubing Annulus Depth to Top Perf/Open Hole Depth to Fluid Level Fluid Column Level Specific Gravity of Fluid Nitrogen Weight Factor Required Pressure Test Remedial Action Type Fluid Migration Test Remedial Type Action Type Inspection Comments Inspector Signature MATTHEW ALLEN Date: 2024.07.29 12:22:46 -05'00' Digitally signed by MATTHEW ALLEN Supervisor Signature JEANNE ECKHART Date: 2024.07.30 11:02:41 -05'00' Digitally signed by JEANNE ECKHART Performance Energy Resources, LLC/Quapaw Lease OS5624000 (UIC) Inspection Date: 06/26/2024 Appendix 1 Photograph Log 2 Photos UNITED STATES ENVIRONMENTAL PROTECTION AGENCY Photograph Log Location: 36.632221, -96.128087 City: Barnsdall Photo No. 1 County/Parish: Osage State: Oklahoma Photo File Name: R0010451 Orientation: W Date of Photo: 6/26/2024 Time of Photo: 10:01 AM Latitude: 36.632221 Longitude: -96.128087 Photographer: Matthew Allen Description: This was the well sign for well OS5624000. UNITED STATES ENVIRONMENTAL PROTECTION AGENCY Photograph Log Location: 36.632221, -96.128087 City: Barnsdall Photo No. 2 County/Parish: Osage State: Oklahoma Photo File Name: R0010452 Orientation: W Date of Photo: 6/26/2024 Time of Photo: 10:03 AM Latitude: 36.632221 Longitude: -96.128087 Photographer: Matthew Allen Description: This was well OS5624000 at the time of the inspection. The well was connected.