Document nkRrx2Q4qoX20gDB5moxvNopa

Inspector Well Inspection Osage DNR / Environmental Protection Agency 1201 Elm Street, Suite 500 Dallas, Texas 75270 Matthew Allen Inspection Date 10/10/2024 Operator Representative Park WM Time 09:30 Operator Info Park WM P.O. Box 718 Skiatook, OK 74070 Phone: 918-288-7752 Inventory ID API Well No Lease Name Well ID OS2455000 TBD WF21 Location NE 22 20N 12E Status Inactive Well Type Enhanced Recovery Latitude 36.197932 Longitude -96.010738 Inspection Plugging Witnessed Reason Responsible Company at Park WM Time of Inspection Inspect No. Casing 4.5 Date Last MIT Tubing Last Test Result USDW Monitoring N Device Elected Tubings Annulus AUTHORIZED Monitoring Device Fittings N N Max Pressure 371 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 EPA inspector observed Lester Well Service run 1385 feet of tubing into well OS2455000 and circulate 120 sacks of class A cement to the surface. Inspector observed the well standing full of cement with no fallback. Well successfully plugged. BIA inspector Ira Lookout and Osage Nation DNR inspector Stephen Wynn were also present during the inspection. Inspector Signature MATTHEW ALLEN Date: 2024.10.15 15:45:07 -05'00' Digitally signed by MATTHEW ALLEN Supervisor Signature JEANNE ECKHART Date: 2024.10.28 10:43:04 -05'00' Digitally signed by JEANNE ECKHART Park WM/Tulsa Lease (OS2455000) Inspection Date: 10/10/2024 Appendix 1 Photograph Log 2 Photos UNITED STATES ENVIRONMENTAL PROTECTION AGENCY Photograph Log Location: 36.197932, -96.010738 City: Tulsa Photo No. 1 County/Parish: Osage State: Oklahoma Photo File Name: R0010519 Orientation: E Date of Photo: 10/10/2024 Time of Photo: 9:55 AM Latitude: 36.197932 Longitude: -96.010738 Photographer: Matthew Allen Description: This was well OS2455000 with cement circulating to the surface. UNITED STATES ENVIRONMENTAL PROTECTION AGENCY Photograph Log Location: 36.197932, -96.010738 City: Tulsa Photo No. 2 County/Parish: Osage State: Oklahoma Photo File Name: R0010522 Orientation: E Date of Photo: 10/10/2024 Time of Photo: 10:56 AM Latitude: 36.197932 Longitude: -96.010738 Photographer: Matthew Allen Description: This was well OS2455000 standing full of cement with no fallback.