HomeMy WebLinkAboutUPI CHECKLISTSection 8:
Lease:
Well No.:
Location:
Date Completed
Oil Well Inspection
BAKERSFIELD FIRE DEPT.
Prevention Services
1501 Truxtun Ave., 1St Floor
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
Page I of 1
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OPERATION
C
V
COMMENTS
Reportable Haz -Mat on -Site (Business Plan requirement)
Well location 25 feet from Tanks or Sources of Ignition
Well Location 75 Feet from Dedicated Public Street
Well Location 100 Feet from Miscellaneous Buildings
Well Location 300 Feet from Public Assembly Building
No. Well Discharge to Drainage Canals, etc.
On the ground within 25 feet of
No. Combustible Waste Well Site or Tanks
Sumps Less Than 12 Feet Wide and Fenced
Blowout Prevention in Place
Signs Properly Posted
Proper Fire Protection on Site
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SPECIAL CONDITIONS: w Vs ex-e__ k�\_C' ed
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COMMENTS: i� JA
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Inspects �.�..... ,...,...,..., .. .
Questions regarding this inspection? Please call us at (661) 326 -3979
Well Site Responsible Party
White — Prevention Services Pink - Business Copy FD 2161 (Rev. 03/08)
N Legend
0 OIL WELL City of Bakersfield Oilwells
A City Limits
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� OIL WELL City of Bakersfield Oilwells
A City Limits
N Legend
A 9 OIL WELL City of Bakersfield Oilwells
City Limits
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� OIL WELL City of Bakersfield Oilwells
A City Limits
Legend
0 OIL WELL City of Bakersfield Oilwells ,v -�
City Limits
N Legend
G OIL WELL City of Bakersfield Oilwells
A City Limits
BAKERSFIELD FIRE DEPT.
INSPECTIONS, Prevention Services
B x s j D 1501 Truxtun Ave., 1st Floor
Bakersfield, CA 93301
BUSINESS PLAN &
r. A TAJI r Tel.: (661) 326 -3979
INVENTORY PROGRAM w Fax: (661) 852 -2171
UNIFIED PROGRAM INSPECTION CHECKLIST
Page 1 of 1
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Section $: Oil Well Inspection �.__...�1 ; r�,��,�ax�, �..: � � c.� ���,�`•
Lease:
Well No.:
Location: 2� 1 ? - � l o t ' o �
Date Completed:
OPERATION
C
V
COMMENTS
Reportable Haz -Mat on -Site (Business Plan requirement)
Well location 25 feet from Tanks or Sources of Ignition
Well Location 75 Feet from Dedicated Public Street
Well Location 100 Feet from Miscellaneous Buildings
Well Location 300 Feet from Public Assembly Building
No. Well Discharge to Drainage Canals, etc.
On the ground within 25 feet of
No. Combustible Waste Well Site or Tanks
Sumps Less Than 12 Feet Wide and Fenced
Blowout Prevention in Place
Signs Properly Posted
Proper Fire Protection on Site
SPECIAL CONDITIONS: < '.. c, � \�''`'� 0A ��o �
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1 .- } t I
Cie �4 -
COMMENTS.
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Inspector:
Questions regarding this inspection? Please call us at (661) 326 -3979
Well Site Responsible Party
White - Prevention Services Pink - Business Copy FD 2161 (Rev. 03/08)
NAME: PHONE NO.: CELL NO.:
BAKERSFIELD FIRE DEPT.
"-- W—A
Prevention Services
OIL WELL SAFETY PROGRAM
2101 H Street
YES
YES 0
Bakersfield, CA 93301
OIL WELL INSPECTION
ARTN' T
Tel.: (661) 326 -3979
FIELD NOTES
4 313L�
Fax: (661) 852-2171
YES
5 z
k0 3/
YES
!SITE INFORMATION:
�4E
.DATE COMPLETED INSPECTION:
YES ❑
YES El
7
YES
LEASE:
(FEE)
WELL #:
YES
YES ❑
NAME: PHONE NO.: CELL NO.:
Page _ of
YES i�
YES EJ
YES
YES 0
/3
YES
YES ❑
FE
4 313L�
YES El
YES
5 z
k0 3/
YES
YES ❑
�4E
116kCL5
YES ❑
YES El
7
YES
YES ❑ 0
(FEE)
3
YES
YES ❑
(,F EE
9
YE S
y
YES ❑
(<FEV
10 f
YES
YES ❑
EE
kcL 3 1 Z2as- I
YES
❑
FEE )
1/12 Vr
YES
YES ❑
EE
13
YES
YES ❑
F E E
rj
/14
X31 -
YESY
YES ❑
OE)
15 C
YES Y
YES ❑
FEE
TOTAL # OF WELLS
New well, make new file FD 2080(Rev. 02/11)
Page _ of
Legend
OIL WELL City of Bakersfield Oilwells
City Limits
q,,
N Legend
A � OIL WELL City of Bakersfield Oilwells
City Limits
Legend
A OIL WELL City of Bakersfield Oilwells
City Limits
-7f) LA-- V�
-7
N Legend
6) OIL WELL
City Limits
City of Bakersfield Oilwells
N Legend
G OIL WELL City of Bakersfield Oilwells
City Limits
N Legend
A � OIL WELL City of Bakersfield Oilwells
City Limits
-3-7-0
V
'FH � - 11
BAKER,SFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
LEASE / SITE INFORMATION:
OIL WELL SAFETY PROGRAM
Yom,
WELL #:
LOCATION:
OIL WELL INSPECTION
Ax M f
FIELD NOTES
°CONTACT PERSON W:
BAKER,SFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
NAME:
LEASE / SITE INFORMATION:
.DATE COMPLETED INSPECTION: gg
LEASE:
WELL #:
LOCATION:
ADDRESS: �J (
CIT -
jd
ZIP CODE:
q -7 5-f--
°CONTACT PERSON W:
NAME: y rck rf 0
11 1
PHONE NO,
r�
CELL NO.:
NAME:
PHONE NO.:
CELL NO.:
NAME:
PHONE NO.:
CELL NO.:
,,.WELL NAME(s)
PUMPING
One)
NOT PUMPING
(CAPABLE)
_ FEE
(�1 'One)
1
tt. _,...,..
D- 2
YES 1
YES ❑
�FE
2
YES [�
YES ❑
E
3
YES [
YES ❑
�EE
YES C
YES ❑
(�EE
5
YES
YES ❑
FEE
YES
YES ❑
FEE
7
al
V
YES L
YES ❑
FEE
8
YES ❑
YES ❑
FEE
9
YES
YES ❑
FEED
10
YES ❑
YES ❑
FEE
11
YES ❑
YES ❑
FEE
12
YES ❑
YES ❑
FEE
13
YES ❑
YES ❑
FEE
14
��`�.t-..., ✓ � ��' J` �
YES ❑
YES
15
YES
YES ❑
FEE
TOTAL # OF WELLS
k = New well, make new file
Page of
FD 2080(Rev. 02111)