HomeMy WebLinkAboutcrimson resources oil wells 2023■ Fire Chief ■
John Frando
Deputy Fire Chief
Kevin Albertson
Operations
661-326-3655
Deputy Fire Chief
Jimmy Cherry
Support Services
661-326-3687
Deputy Fire Chief
Paul Briones
Specialized Services
661-326-3698
Fire Department Headquarters
2101 H Street, Floor 1
Bakersfield, CA 93301
(661) 326-3911 (main)
(661) 852-2170 ( fax)
Fire Department Community
Services / Public Information
2101 H Street, Floor 1
Bakersfield, CA 93301
(661) 326-3688 (office)
(661) 852-2170 (fax)
Fire Prevention Division
2101 H Street, Floor 2
Bakersfield, CA 93301
(661) 326-3979 (main)
(661) 852-2171 (fax)
Fire Training Division
5642 Victor Street (ODFTF)
Bakersfield, CA 93308
(661) 399-4697 (main)
(661) 399-5763 (fax)
Live Fire Training
106 E. White Lane (FS 5)
Bakersfield, CA 93307
(661) 397-6305 (main)
(661) 852-2170 (fax)
May 23, 2023
Crimson Resource Management -Steve Nixon
11200 River Run Blvd #200
Bakersfield, CA 93311
RE: Rosedale, Bellevue & Stockdale Oil Fields
Dear Mr. Nixon:
Annual oil well inspections were completed during April 24, 2023 and May 19,
2023. These inspections are done to ensure compliance with the California Fire
Code (2016 Edition) as a basic fire prevention inspection and for familiarization
with existing facilities and wells within the city limits of Bakersfield.
Attached is the inspection form which indicates the oil wells that were inspected.
There is a $105.00 fee for each oil well that is inspected. You will receive a
statement in the next couple of weeks.
Should you have additional questions, please feel free to contact me at (661) 326-
3658.
Sincerely, ,
Esther Duran
Fire Prevention Officer
Bakersfield Fire Department
Arson Division
2101 H Street, Floor 2
Bakersfield, CA 93301
(661) 326-3911 (main)
(661) 852-2172 (fax)
BAKERSFIELD FIRE DEPARTMENT • 21 01 H STREET • BAKERSFIELD, CA. 93301 • 661 -326-391 1
C L A S S 2 F I R E D E P A R T M E N T
INSPECTIONS
BUSINESS PLAN &
INVENTORY PROGRAM
UNIFIED PROGRAM INSPECTION CHECKLIST
l�ERSFj�I
9 �
BAKERSFIELD FIRE DEPT,
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 852-2171
Page 1 of 1
Section 8: Oil Well Inspection
Lease:
D�M'.�-� �
Well No.: Rd�_�'A� ���/VC �- �Cr,.k��-�� 01\
Location: �'r^ _ 1�-# r��•-���� ��.3-2Z- A� �Z3 Z3�:
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
\/inintinn
SPECIAL CONDITIONS:
COMMENTS:
Inspector.
Well Site Responsible Party
Questions regarding this inspection? Please call us at (661) 326-3979
. _ „�,r ,
. 6 ._.
Lease
Location
Well Info
Notes
ROSEDALE,
CRIMSON
BELLEVUE &
RESOURCE
STOCKDALE OIL
MGMT
FIELDS
Pumping
1
KCL 31 #204-1
Pumping
2
KCL 31 #16-1
Pumping
3
KCL 31 #17-1
Pumping
4
KCL 31 #27-1
Pumping
5
KCL 31 #2613-1
Pumping
6
KCL 31 #26-1
Pumping
7
KCL 31 #225-1
Not Pumping
g
KCL 31 #35A-1
Pumping
9
KCL 31 #25A-1
Pumping
10
KCL 31 #25-1
Not Pumping
11
KCL 31 #3413-1
Pumping
12
KCL 31 #15-1
Water Disposal
Inj
13
KCL 31 #18-1
12808 SNOW RD
Not Pumping
14
KCL 61 52X-10
END OF MING AVE
Pumping
15
TENNECO PANAMA 1-15
5500 DISTRICT
Not Pumping
16
TENNECO PANAMA 2-15
5500 DISTRICT
Pumping
17
TENNECO PANAMA 3-15
5500 DISTRICT
Pumping
5300 STINE, BEHIND
18
BARRON #1
CHURCH
Pumping
19-231 OFF AKERS &
19
PANAMA 11X-23
PACHECO
Pumping
20
PANAMA 1-14
Not Pumping
21
PANAMA 2-14
Pumping
22
PANAMA 3-14
Pumping
23
PANAMA 2-23
Pumping
24
PANAMA 57X-14
Pumping
25&26 BEHIND JOSES
25
PANAMA 4-22
GOLD RANGE
Pumping
26
WELL #2-22
Pumping
27 & 28 OFF
WOODMERE(POMPAS
27
PANAMA 14 #1-22
&OPEN SKY)
Pumping
28
PANAMA 14 #3A-22
Pumping
29
KCL 31 #266-1
(Being worked on)
Not Pumping
30
KCL 31 #255-1
Not Pumping
31
KCL 31 #243-1
Not Pumping
32
KCL 31 JV 32-1
Inj
33
KCL 31 JV 22-1
lWater Disposal
linj
34
12-1.
Water Disposal
I nj
35
13-1
Water Disposal
I nj
36
KCL 31 JV 14-1
Water Disposal
I nj
37
KCL 31 83A 13-6
37-41 7TH STANDARD E
SIDE OF CANAL IN
Pumping
38
KCL 31 #84-1
Not Pumping
39
KCL 34-1
Not Pumping
40
KCL 133A-1
Not Pumping
411
KCL 48 JV 14-6
Pumping
42
KCL 31 JV 81-1
Not Pumping
431
KCL 318313-1
Not Pumping
44
KCL 31 JV 67-2
42-45 WSIDE OF
I nj
451
KCL 48 #77-2
Water Disposal
I nj
46
KCL 62 JV 167-2
Water Disposal
I nj
471
KCL 48 #178-2
Water Disposal
I nj
48
KCL 48 #64A-1
Not Pumping
49
KCL 48 #6413-1.
Pumping
50
KCL 31 WELL 73-1
Pumping
51
KCL 31 WELL #282-1
Pumping
52
KCL 31 #273-1
Pumping
53
KCL 31 #83A-1
Pumping
54
ROSEDALE RANCH KCL 31
#283-1
Pumping
55
KCL 31 WELL 284-1
Being Worked On
Not Pumping
561
KCL 31 #274-1
Pumping
57
KCL 74A- I
Not Pumping
58
KCL 31 #285-1
Not Pumping
59
KCL 31 #34-1
Not Pumping
601
KCL 31 #23A-1
Water Disposal
I nj
61
KCL 56-1
Not Pumping
62
KCL 57-1
IN YARD IN BACK OF
Not Pumping
63
KCL 36-1
Not Pumping
64
KCL 31 #224-1
Not Pumping
65
KCL 31 #28-1
12620 SNOW RD
iNot
Pumping
66
KCL 31 #28A-1
12558 SNOW RD
Pumping
67
KCL LEASE 31 WELL # 43-
1
1 nj
68
KCL 31 #53-1
1 nj
69
KCL 3152-1
1 nj
70
KCL 31 WELL 63-1
Not Pumping
71,
KCL 31 JV 63A-1
Not Pumping
72
KCL 3144-1
Not Pumping
731
KCL 31 WELL #65-1
Not Pumping
.741
KCL 48 #65-1
Not Pumping
�--� BAKERSFIELD FIRE DEPT.
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection Fax: (661) 852-2171
FACILITY NAME
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326-3979
INSPECTION DATE INSPECTION TIME
ADDRESS PHONE NO. NO OF EMPLOYEES 4
FACILITY CONTACT BUSINESS ID NUMBER
CONSENT TO INSPECT NAME/TITLE
Section 1: Business Plan and Inventory Program
El ROUTINE El COMBINED El JOINT AGENCY ElMULTI-AGENCYEl COMPLAINT ❑ RE -INSPECTION
C V C=Compliance OPERATION C E RS
V=Violation; I, I I Minor Violation COMMENT
ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080) 3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1) 3210043
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 1010004
VERIFICATION OF QUANTITIES (CCR: 2729.4) 1010006
VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SIDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 1020002
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) 3030007
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906) 3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005
ANY HAZARDOUS WASTE ON SITE? El YES ❑ NO Signature of Receipt
Explain:
Inspector•
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by
• Within 5 days of correcting all of the violations, sign and return a copy of this page to: Signature (that all violations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
White — Business Copy Yellow — Station Copy Pink — Prevention Services FD2155 (Rev 6/2021)
UNIFIED PROGRAM INSPECTION CHECKLIST
�wmSECTION 1: Hazardous Materials Business Plan
Inspection
FACILITY NAME
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
>f b Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 852-2171
INSPECTION DATE INSPECTION TIME
ADDRESS PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT i BUSINESS ID NUMBER
CONSENT TO INSPECT NAME/TITLE , , "j L u 1
Section 1: Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY ❑ COMPLAINT ❑ RE -INSPECTION
C V C=Compliance OPERATION C E R S
V=violation; 1,11 Minor Violation COMMENT
ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080) 3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
3210043
1010004
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
1020002
1010010
3030007
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
NY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO Si nature ofRecei t
Explain:
Inspector:
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by
• Within 5 days of correcting all of the violations, sign and return a copy of this page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
White — Business Copy Yellow — Station Copy Pink — Prevention Services
Signature (that all violations have been corrected as noted)
Date
FD2155 ( Rev 6/2021)
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection
FACILITY NAME
ADDRESS
FACILITY CONTACT
CONSENT TO INSPECT NAME/TITLE
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
. ° Bakersfield, CA 93301
Bake
Tel.: (661) 326-3979
Fax: (661) 852-2171
INSPECTION DATE INSPECTION TIME
PHONE NO. NO OF EMPLOYEES
BUSINESS ID NUMBER
Section 1: Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY ❑ COMPLAINT ❑ RE -INSPECTION
C V C=Compliance OPERATION
V=Violation; 1,11 Minor
ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080)
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
C E RS
Violation COMMENT
#
3010001
3210043
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
VERIFICATION OF QUANTITIES (CCR: 2729.4)
VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010004
1010006
1020002
1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
HOUSEKEEPING (CFC: 304.1)
3030007
FIRE PROTECTION (CFC: 903 & 906)
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
3030032
1010005
NY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO Signature of Recei t
Explain:
Inspector:
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by
• Within 5 days of correcting all of the violations, sign and return a copy of this page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Signature (that all violations have been corrected as noted)
Date
White — Business Copy Yellow — Station Copy Pink — Prevention Services
FD2155 (Rev 6/12021)
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection
FACILITY NAME
ADDRESS
FACILITY CONTACT
i
CONSENT TO INSPECT NAME/TITLE
BAKERSFIELD FIRE DEPT.
�^ .� Prevention Services
Prevention Services
2101 H Street
Bakersfield CA 93301
Tel.: (661) 326-3979
Fax: (661) 852-2171
INSPECTION DATE INSPECTION TIME
PHONE NO. NO OF EMPLOYEES
BUSINESS ID NUMBER
Section 1: Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY ❑ COMPLAINT ❑ RE -INSPECTION
C V C=Compliance OPERATION
V=Violation; 1,11 Minor
ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080)
C E R S
Violation COMMENT
3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
3210043
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
VERIFICATION OF QUANTITIES (CCR: 2729.4)
VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
1010004
1010006
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010010
3030007
3030032
1010005
NY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO Signature of Receipt
Explain:
Inspector:
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by
• Within 5 days of correcting all of the violations, sign and return a copy of this page to: Signature (that all violations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
White — Business Copy Yellow — Station Copy Pink — Prevention Services FD2155 (Rev 6 2021)
UNIFIED PROGRAM INSPECTION CHECKLIST .. o
SECTION 1: Hazardous Materials Business Plan
Inspection
FACILITY NAME
ADDRESS
FACILITY CONTACT
'3ONSENT TO INSPECT NAME/TITLE
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 852-2171
NSPECTION DATE INSPECTION TIME
'HONE NO. NO OF EMPLOYEES
3USINESS ID NUMBER
Section 1: Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY ❑ COMPLAINT ❑ RE -INSPECTION
C
V
C=Compliance OPERATION
V=violation; 1,11 Minor
ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080)
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
VERIFICATION OF QUANTITIES (CCR: 2729.4)
VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
CONTAINERS PROPERLY LABELED (CCR: 66262.34(o, CFC: 2703.5)
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
WASTE ON SITE? ❑ YES ❑ NO
C E RS
Violation
3010001
3210043
1010004
1010006
1020002
1010010
3030007
3030032
1010005
SitnatureofReceipt
COMMENT
ANY
HAZARDOUS
Explain:
Inspector:
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by
• Within 5 days of correcting all of the violations, sign and return a copy of this page to: Signature (that all violations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
White — Business Copy Yellow — Station Copy Pink — Prevention Services FD2155 (Rev 6/2021)
�--� BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST 2101 H Street
° Bakersfield, CA 93301
SECTION 1: Hazardous Materials Business Plan Tel.: (661) 326-3979
Inspection Fax: (661) 852-2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
ADDRESS HONE NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
CONSENT TO INSPECT NAME/TITLE
Section 1: Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY ❑ COMPLAINT ❑ RE -INSPECTION
C u C=Compliance OPERATION
C E RS
V=violation; I, I I Minor
Violation
COMMENT
ACTIVE HAZARDOUS MATERIALS PERMIT
(BMC: 15.65.080)
3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY
(CCR: 2729.1)
3210043
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY
(CBC: 401)
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
1010004
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
1010006
VERIFICATION OF LOCATION
(CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY
(CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
1020002
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES
(CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
HOUSEKEEPING
(CFC: 304.1)
FIRE PROTECTION
(CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑
NO
i nature of Receipt
Explain:
Inspector:
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by
• Within 5 days of correcting all of the violations, sign and return a copy of this page to:
Signature (that all violations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
White — Business Copy Yellow — Station Copy
Pink — Prevention Services FD2155 (Rev 6/2021)
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 852-2171
FACILITY NAME `INSPECTION DATE INSPECTION TIME
ADDRESS PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
I
CONSENT TO INSPECT NAME/TITLE
Section 1: Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY ❑ COMPLAINT ❑ RE -INSPECTION
C v C=Compliance OPERATION
C E R S
V=violation; 1,11 Minor
Violation COMMENT
ACTIVE HAZARDOUS MATERIALS PERMIT
(BMC: 15.65.080)
3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY
(CCR: 2729.1)
3210043
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY
(CBC: 401)
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
1010004
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
1010006
VERIFICATION OF LOCATION
(CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY
(CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
1020002
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES
(CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
HOUSEKEEPING
(CFC: 304.1)
FIRE PROTECTION
(CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑
NO
ISignature of Receiipt
Explain:
Inspector:
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by
• Within 5 days of correcting all of the violations, sign and return a copy of this page to:
Signature (that all violations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
White — Business Copy Yellow — Station Copy
Pink — Prevention Services FD2155 (Rev 6/2021)