Document Lo513J5MrNdmd7g0m8wLr4zeq

Inspector Inspection Due Operator Info Well Inspection Osage DNR / Environmental Protection Agency 1201 Elm Street, Suite 500 Dallas, Texas 75270 Matthew Allen Inspection Date 03/27/2024 Time 11:55 2019-06-12T00:00:00Z Operator Representative Smith Petroleum, LLC Smith Petroleum, LLC Inventory ID OS3706000 507 W. Main St; P.O. Box 134 Barnsdall, OK 740020134 API Well No Lease Name Well ID Quapaw 1W Phone: 918-638-1301 Location SE 19 25N 11E Status Inactive Well Type Enhanced Recovery Latitude 36.622312 Longitude -96.155671 Inspection Requested By Reason Compliance Staff Responsible Company at Smith Petroleum, LLC Time of Inspection Inspect No. Casing 4.5 Date Last MIT 11/18/1994 Tubing Last Test Result USDW Acceptable Monitoring N Device Elected Monitoring Device FLM Canister Fittings Tubing s N Annulu s N AUTHORIZED Max Pressure 484 Actual Pressure 0 Max Volume Pressure Lease Status Active Determined? Open Hole Max Inj Units Barrels Per Month Barrel Monitor N Hooked Up? Static Fluid 1045 Level Barrel Fluid Level (%) Determined? Echo Meter Flowline N Injection Rate Hooked Up? (bpd) Injecting N Inspection Comments At the time of the inspection, the well was overdue for MIT. Inspector observed the fluid level to be 1045 feet below the top of the tubing. Inspector Signature MATTHEW ALLEN Date: 2024.04.11 14:33:21 -05'00' Digitally signed by MATTHEW ALLEN Supervisor Signature JEANNE ECKHART Date: 2024.04.12 07:50:00 -05'00' Digitally signed by JEANNE ECKHART Smith Petroleum, LLC/Quapaw Lease (OS3706000) Inspection Date: 03/27/2024 Appendix 1 Photograph Log 1 Photo UNITED STATES ENVIRONMENTAL PROTECTION AGENCY Photograph Log Location: 36.622312, -96.155671 City: Barnsdall Photo No. 1 County/Parish: Osage State: Oklahoma Photo File Name: DSCN Orientation: NNE Date of Photo: 03/27/2024 Time of Photo: 10:52 AM Latitude: 36.622312 Longitude: -96.155671 Photographer: Matthew Allen Description: This was well OS3706000 at the time of the inspection. The fluid level was observed to be 1045 feet below the tubing valve.