HomeMy WebLinkAboutUPI CHECKLISTBAKERSFIELD FIRE DEPT.
INSPECTIONS, i'` Prevention Services
� It s V 1 n 1501 Truxtun Ave., 1St Floor
PINS Bakersfield, CA 93301
BUSINESS PLAN 8c 1N' i" Tel.:. (661) 326 -3979
INVENTORY PROGRAM Fax: (661) 852 -2171
UNIFIED PROGRAM INSPECTION CHECKLIST
Page 1 of 1
6.
Section 8: Oil Well Inspection
Lease: C-4 1 €
Well No.:
Location: � `-� � l � -� _ � �'
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
SPEC-JAL CONDITIONS:
An
COMMENTS: 6jV \E
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.:
B.AKERSFIELD FIRE DEPT.
CELL NO.:
Prevention Services
OIL WELL SAFETY PROGRAM
,�
2101 H Street
B 9 P I D
Bakersfield, CA 93301
OIL WELL INSPECTIONRT,
�•
Tel.: (661) 326 -3979
FIELD NOTES
Fax: (661) 852 -2171
YES
-, LEASE'/ SITE INFORMATION:
(j�E:E)
.DATE COMPLETED INSPECTION:
YES
YES ❑
3
V_C_L
YES
LEASE:
6r \
(ii�
WELL #:
YES ❑
LrnIION:
z0j _
NAME:
PHONE NO.:
CELL NO.:
WELL NAME(s).
PUMPING
NOT PUMPING
(CAPABLE)
FEE
YES
YES ❑
(j�E:E)
2
YES
YES ❑
3
V_C_L
YES
YES ❑
(ii�
/4 _
YES ❑
YES
\
kCi-- 3
YES
YES ❑
;E:
'6 -3
v-rL � r �_e
YES ❑
YES ❑
E
7 ,., j % `�. sA. _
YES
YES ❑
CF E `
YES Nil
YES ❑
EE
9 x
YES `!
YES El
FE
1'0
YES
YES ❑
11
kcL-3 Z21- °
YES
YES ❑
(,F EE
'12
�
YES
YES ❑
(.FEE)
13 ` �CLYES
� � 1
YES 1:1
,FEE
/14 "1 _ _
YES
YES ❑
TEE
YES
YES ❑
FEE
TOTAL # OF WELLS
1
New well, make new file
FD 2080(Rev. 02/11)
Page of
N Legend
A � OIL WELL City of Bakersfield Oilwells
City Limits �, _ �_ � � � q c)c�
N Legend
A � OIL WELL City of Bakersfield Oilwells
City Limits
Legend
A 9 OIL WELL City of Bakersfield Oilwells
City Limits
-7f) LA--�'�>
LIL-4-VAle-x- ce-Flcl-k r-
3--- -7
N Legend
® OIL WELL
City Limits
City of Bakersfield Oilwells
f�l Legend
A � OIL WELL City of Bakersfield 0itwells
City Limits
N Legend
A � OIL WELL City of Bakersfield Oilwells
City Limits
-3-7-0
M
367-1l
3 —ii -off
Page _ of
BAKERSFIELD FIRE DEPT.
Prevention Services
OIL WELL SAFETY PROGRAM
2101 H Street
Bakersfield, CA 93301
OIL WELL INSPECTION
A itN
#lr
Tel.: (661) 326 -3979
FIELD NOTES
Fax: (661) 852-2171
F1 (E
LEASE
I SITE INFORMATION:_
.DATE COMPLETED INSPECTION:
LEASE:
WELL #:
LOCATION:
ADDRESS:
ff
0
C I T7�
ZIP CODE:
Ci
eJd
I
, C NTACT PERSON (s):
NAME: eb ro k
PHONE NO.-
CELL NO.:
NAME:
PHONE NO.:
CELL NO.:
NAME:
PHONE NO.:
CELL NO.:
WELL NAME($ ).
PUMPING
One)
NOTPUI MPINd
(CAPABLE) :;.
F
Re
YES
YES ❑
2
YES
YES ❑
3
YES l
YES ❑
)
�"E
EE
4
YES
YES ❑
(
0'
5
YES
YES ❑
, FEE
L,-,
YES
YES 11
FEE
YES
YES El
FEE
8
YES ❑
YES ❑
FEE
Kc L
-2. - I
YES
YES ❑
FEE)
10
YES ❑
YES ❑
FEE
11
YES ❑
YES ❑
FEE
12
YES ❑
YES ❑
FEE
13
YES ❑
YES ❑
FEE
14
V
YES ❑
YES '1�
EE
15
YES
YES F-1
FEE
TOTAL # OF WELLS
New well, make new file
FD 2080(Rev. 02/11)
Page _ of