HomeMy WebLinkAbouttrio petroleum Inc._oil well insp 4.5.21a Ift 1W I%= W n
UNIFIED PROGRAM INSPECTION CHECKLIST
Section 8: O[Vell]nspection
Lease: ci 0 (e -(oleonl)
Well No.: JJALtt DO
Location:
Date Completed:
BAKERSFIELD FIRE DEPT.
q., .'. - I I
Prevention Services
21 1 H Street
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 852-2171
Page I of I
DPERATION C V COMMENTS
Reportable Haz-Mat, on-site (Business Plan requirement)
Well location , 25 feet from Tanks or Sources of lanition
Well Location 75 Feet from Dedicated Public Street
Well Location 100 Feettom .;Miscellaneous, Buildings
Well Location .3.00 Feet from Public Assembly Building
No Well. Discharc ra
ie to D' JInlade Canals, etc.
On the ground within 26 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
C = Compliance V = Violation
COMMENTS:
P2,CL2AFA
White — Prevention Services Pink - Business Copy FD 2161 (Rev. 03/19)
OIL WELL SAFETY PROGRAM
OIL WELL INSPECTION
FIELD NOTES
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
.. Tel.: (661) 326 -3979
Fes: (661) 852 -2171
HOT ",�o q r) 0-f
LEASE /SITE INFORMATION:
.DATE COMPLETED INSPECTION: JI
LEASE: �1 n WELL #: OCATIO �D
D e-u (n
IP,DDRESS: I
(% I l
ITY:
V
ZIP CODE:
CONTACT PERSON(s):,12-9
NAME: PHONE NO.: NO.:
NAME:
PHONE NO.:
CELL NO.:
NAME:
PHONE NO.:
CELL NO.:
WELL NAME(s):
PUMPING �I
NOT PUMPING
(v� One)
(CAPABLE)
FEE
(J One)
n n
YES ❑
YES
2 �
YES ❑
YES �
EE
3
YE El
Yes
EE
4
YES ❑
YES ❑
FEE
5
YES D
YES ❑
FEE
6
r
YES ❑
YES ❑
i
�
FEE
7
YES ❑
YES ❑
FEE
$
YES ❑
YES ❑
�
FEE
9
YES ❑
YES ❑
FEE
10
YES ❑
j YES ❑
FEE
YES ❑
YES ❑ I FEE
12
YES ❑
YES ❑
III FEE
TOTAL # OF WELLS
�7
White — Prevention Services Pink - Business Copy
Page of
FD 2080 (Rev. 03/19)
V.Az..-
OIL WELL SAFETY PROGRAM
OIL WELL INSPECTION
FIELD NOTES
BAKERSFIELD FIRE DEPT.
°i Prevention Services
2101 H Street
Bakersfield, CA 93301
. Tel.: (661) 326 -3979
Fax: (661) 852 -2171
. j V_ — f,
1 �_
LEASE / SITE INFORMATION:
.DATE COMPLETED INSPECTION: /f�' J j�
��l1'7
�
LEASE: �r '�
WELL #:
OCATION: /o
;ADDRESS: :�% � ( �
CITY:
V'e
ZIP CODE:
CONTACT PERSON s
NAME:
PHONE NO.: � �
CELL NO.:
NAME:
PHONE NO.:,
CELL NO.:
NAME:
PHONE NO.:
CELL NO.:
WELL NAME(s):
PUMPING
NOT PUMPING
(J One)
(CAPABLE)
FEE
' One)
YES ❑
YES ❑
FEE
c
2
�
YES ❑
YES ❑
3
&,Alt ,
I AYES ❑
YES ❑
FEE
4
YES ❑
YES ❑
FEE
5
YES ❑
YES ❑
FEE
6
L t
,l,
YES ❑
YES ❑
FEE
7
YES ❑
YES ❑
FEE
$
YES ❑
YES ❑
FEE
9
YES ❑
YES ❑
FEE
10
YES ❑
YES ❑
FEE
11
YES ❑
YES ❑
FEE
12
YES ❑
YES ❑
FEE
TOTAL # OF WELLS
White - Prevention Services Pink - Business Copy
Page of
FD 2080 (Rev. 03/19)