Environmental - Water Inventory EJM

• Site Location

  Charlotte

  Houston

  Indianapolis

  Oklahoma City

  St. Louis

• Inspection Date

  Date

• Team Members

Water Inventory

• Domestic water provider

• Does the facility use any water sources other than domestic water provider?

  Yes

  No

• Describe other sources

• Are additional water sources used for onsite domestic (personal) consumption?

  Yes

  No

  N/A

• Has this source been approved for domestic consumption by the governing authority?

  Yes

  No

  Unknown

• Does the facility maintain all necessary documentation onsite?

  Yes

  No
Water Use Inventory

• Use description

• Water use categorization

  Select Operations equipment Utilities Process maintenance activities Logistics Office

  • Operations equipment
  • Utilities
  • Process maintenance activities
  • Logistics
  • Office

• Water source

  Domestic water

  Stormwater

  Other

• Describe 'Other'

• Water management/disposition

  Sanitary discharge

  Stormwater discharge

  Tankage

  Other

• Describe 'Other'

• Is the management/discharge of the water regulated due to level of contamination or management method?

  Yes

  No

  N/A

• Has the water been characterized by the facility or vendor for this management method?

  Yes

  No

• Does the facility maintain a copy of the analytical results onsite?

  Yes

  No

• Has the water ever been characterized for management purposes?

  Yes

  No

• Does the facility maintain a copy of the analytical results onsite?

  Yes

  No

Signatory

• Team Lead

  Sign