Document g2K1Rk1LRvgdJeDm0dex8wdKN

Inspection Report Mechanical Integrity Test Osage DNR / Environmental Protection Agency 1201 Elm Street, Suite 500 Dallas TX 75270 Inspector Matthew Allen MIT Date 03/27/2025 Operator Representative W Robert Wilson Report Sent Operator Inject Interval 1722 - 1738 USDW 205 Annulus Fluid Type Concentric Pkr Casing 2.875 Tubing Time 11:00 Well Type Disposal Packer Depth Operator Info W Robert Wilson 510 Kihekah Pawhuska, OK 74056 Phone: 918-287-4800 Inventory ID API Well No Lease Name Well ID OS4091000 Patty Jean C-3 Location NE 14 28N 10E Type of MIT Injecting MIT Due Ada Pressure Test N Injection Rate (bpd) MIT Freq Test Reason Routine Tubular Lining EVERY FIVE YEARS Ann Filled (hrs) Ann Press Mont Time Pre-Test Initial Mid Final 11:00 11:15 11:30 Tubing Pressure 0 460 460 460 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 1722 673 1049 1.06 Annulus Nitrogen Weight Factor 1.0614 Required Pressure Test 453.610 Remedial Action Type Fluid Migration Test Type Inspection Comments Inspector Signature Remedial Action Type Well OS4091000 was pressured to 460psig down the tubing and maintained the required test pressure throughout the 30 minute observation period. MATTHEW ALLEN Date: 2025.04.22 15:52:11 -05'00' Digitally signed by MATTHEW ALLEN Supervisor Signature JEANNE ECKHART Date: 2025.04.24 06:51:46 -05'00' Digitally signed by JEANNE ECKHART