HomeMy WebLinkAboutwest energy operating LLC oil well insp_4.5.21BA'K'ERSFIELD `IRE DEPT.
Prevention Services
2101H Street
Bakersfield, CA 93.301
Tel.: (661) 326-3979
Fax: (661) 852-2171
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Questions regarding this inspection? Please call us at (661) 326-3979
Well Site Responsible Party
White — Prevention Services Pink - Business Copy
FD 2161 (Rev. 03/19)
OIL WELL SAFETY PROGRAM
OIL WELL INSPECTION
FIELD NOTES
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
e�p9 Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
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DATE COMPLETED INSPECTION:
LEASE:
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WELL #: �
OC TION:
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ADDRESS:
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ZIP CODE:
CONTACT PERSON s
NAME:
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CELL NO.:
NAME:
(PHONE NO.:
CELL NO.:
NAME:
PHONE NO.:
CELL NO.:
WELL NAME(s):
PUMPING
NOT PUMPING
FEE
One)
(CAPABLE)
(�l One)
1
YES LJ /�
YES ❑
EE
2
C) � ��1� VL�L -L° S
YES ❑
YES
EE ,
3
� (` � 1
YES �
YES ❑
EE
4
L) � n� 3 a �
YES F-1
YES
C
5
�JD
YES El
YES
E
6
YES ❑
YES ❑
FEE
7
� ��
YES ❑
YES ❑
FEE
ow
aj,
9
c S
Jul
AXES ❑
e ('r
YES El
54A
t�
10
YES ❑
YES ❑
FEE
11
YES ❑
YES ❑
i FEE
12
YES ❑
YES ❑
FEE
TOTAL # OF WELLS
White — Prevention Services Pink - Business Copy
Page of
FD 2080 ( Rev. 03/19)
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