Document OJJv0B86ep77boE4BXkQ1JyVK

Inspector Operator Info Location Latitude Well Inspection Osage DNR / Environmental Protection Agency 1201 Elm Street, Suite 500 Dallas, Texas 75270 Matthew Allen Inspection Date 10/02/2024 Time 09:15 Operator Representative Performance Energy Resources, LLC Performance Energy Inventory ID OS4530000 Resources, LLC P.O. Box 628 Barnsdall, OK 74002 Phone: 918-847-2531 API Well No Lease Name Well ID JACKSON 12 SE 03 24N 11E Status Inactive Well Type Disposal 36.582553 Longitude -96.107735 Inspection Reason Inspect No. Plugging Witnessed Casing 4.5 Responsible Company at Time of Inspection Date Last MIT 01/23/2018 Tubing Performance Energy Resources Last Test Fail Result 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 N N Actual Pressure AUTHORIZED Max Pressure 542 Max Volume Determined? Static Fluid Level Determined? Injection Rate (bpd) Max Inj Units Barrels Per Month Injecting N Inspection Comments Inspector observed surface restoration was completed at the well location. Inspector Signature MATTHEW ALLEN Date: 2024.10.03 15:44:03 -05'00' Digitally signed by MATTHEW ALLEN Supervisor Signature JEANNE ECKHART Date: 2024.10.07 11:39:29 -05'00' Digitally signed by JEANNE ECKHART Performance Energy Resources, LLC/Jackson Lease (OS4530000) Inspection Date: 10/02/2024 Appendix 1 Photograph Log 1 Photo UNITED STATES ENVIRONMENTAL PROTECTION AGENCY Photograph Log Location: 36.582553, -96.107735 City: Barnsdall Photo No. 1 County/Parish: Osage State: Oklahoma Photo File Name: R0010516 Orientation: NNE Date of Photo: 10/02/2024 Time of Photo: 9:18 AM Latitude: 36.582553 Longitude: -96.107735 Photographer: Matthew Allen Description: This was the well location for well OS4530000 after surface restoration had been completed.