Document NEQpQ1jG6ekn8GxwmnypqkD4D

Well Inspection Osage DNR / Environmental Protection Agency 1201 Elm Street, Suite 500 Dallas, Texas 75270 Inspector Matthew Allen Inspection Date 10/02/2024 Time 13:40 Operator Representative Calgary Energy, LLC Operator Info Calgary Energy, LLC 4444 E. 146th St. N. Skiatook, OK 74070 Phone: 918-798-4511 Inventory ID API Well No Lease Name Well ID OS0813000 Crossland 2 Location SW 04 22N 07E Status Inactive Well Type Disposal Latitude 36.410663 Longitude -96.5604 Inspection Plugging Witnessed Reason Responsible Company at Calgary Energy, LLC Time of Inspection Inspect No. Casing 5.5 Date Last MIT 03/05/1986 Tubing Last Test Result USDW Acceptable Monitoring N Device Elected Tubings Annulus AUTHORIZED Monitoring Device Fittings N N Max Pressure 690 FLM Canister Actual Pressure Max Volume Pressure Lease Status Determined? Max Inj Units Barrels Per Month Barrel Monitor N Hooked Up? Static Fluid Level Barrel Fluid Level (%) Determined? Flowline Hooked N Injection Rate Up? (bpd) Injecting N Inspection Comments Inspector observed surface restoration was completed at the well location. Inspector Signature MATTHEW ALLEN Date: 2024.10.03 15:48:27 -05'00' Digitally signed by MATTHEW ALLEN Supervisor Signature JEANNE ECKHART Date: 2024.10.07 11:28:05 -05'00' Digitally signed by JEANNE ECKHART Calgary Energy, LLC/Blackburn Lease (OS0813000) Inspection Date: 10/02/2024 Appendix 1 Photograph Log 1 Photo UNITED STATES ENVIRONMENTAL PROTECTION AGENCY Photograph Log Location: 36.410663, -96.5604 City: Blackburn Photo No. 1 County/Parish: Osage State: Oklahoma Photo File Name: R0010518 Orientation: SSE Date of Photo: 10/02/2024 Time of Photo: 1:43 PM Latitude: 36.410663 Longitude: -96.5604 Photographer: Matthew Allen Description: : This was the well location for well OS0813000 after surface restoration had been completed.