Document LEVGM6EYoOR2dpb5nkeVQE7g
Inspection Report Mechanical Integrity Test Osage DNR / Environmental Protection Agency 1201 Elm Street, Suite 500
Dallas TX 75270
Inspector Matthew Allen
MIT Date 08/13/2025
Operator Representative Performance Energy Resources, LLC Report Sent Operator
Inject Interval 1568 - 1640
USDW 260
Time 10:00
Well Type Dual Completion
Annulus Fluid Type Casing 4.5
Concentric Pkr Tubing 2.375
Packer Depth 1568
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
OS4909000
STAPLETON 12 SWD
Location NE 21 24N 11E
Type of MIT Injecting MIT Due
Ada Pressure Test
N
Injection Rate (bpd)
04/06/2024
MIT Freq
Test Reason Routine Tubular Lining EVERY FIVE YEARS
Ann Filled (hrs) Ann Press Mont
Time
Pre-Test Initial Mid Final
10:15 10:30
10:45
Tubing Pressure 0
200 200
200
Annulus Pressure
Flowback Pressure
High Mid Low End
Total Volume
Volume
ADA Pressure Test - Required Test Pressure (Fluid Column Ht * Specific Gravity * .433 / N2 Wt Fac =
Required Test Pressure)
Depth to Top Perf/Open Hole Depth to Fluid Level Fluid Column Level
Specific Gravity of Fluid
Tubing 1568 0 1568 1.06
Annulus
Nitrogen Weight Factor 1.0576
Required Pressure Test 680.480
Remedial Action Type
Fluid Migration Test Type
Inspection Comments
Inspector Signature
Remedial Action Type Well, OS4909000 failed to achieve the required test pressure of 680.48psi. The well achieved a pressure of 200psi.
MATTHEW ALLEN Date: 2025.09.25 13:54:54 -05'00' Digitally signed by MATTHEW ALLEN
Supervisor Signature JEANNE ECKHART Date: 2025.09.26 06:41:13 -05'00' Digitally signed by JEANNE ECKHART
Performance Energy Resources, LLC/Stapleton Lease (OS4909000) Inspection Date: 8/13/2025
Appendix 1 Photograph Log
1 Photo
UNITED STATES ENVIRONMENTAL PROTECTION AGENCY
Photograph Log
Location: 36.5461, -96.13195 City: Barnsdall
Photo No. 1 County/Parish: Osage
State: Oklahoma
Photo File Name: R0010743 Orientation: N Date of Photo: 8/13/2025 Time of Photo: 10:08 AM Latitude: 36.5461 Longitude: -96.13195 Photographer: Matthew Allen Description: This was well OS4909000 at the time of the inspection.