Title Page

  • Conducted on

  • Prepared by

  • Location Name

  • Permit Number

  • Location
  • Recycling Facility

  • Recycling Containment

  • Facility is free of evidence of leaks, spills or releases

  • Facility is still being used for the recycling of produced water

  • Facility sign is visible and in good condition

  • Comments

  • Recycling Containment
  • Containment has a minimum of three feet of freeboard

  • Containment is free of evidence of surface water run-on

  • Containment water surface is free of visible signs of oil

  • Oil absorbent booms are on-site and in good condition

  • Injection and withdrawal of water is done through a header

  • There is no evidence of a leak in the liner above the waterline

  • Leak detection was checked, and does not show signs of a release

  • No migratory birds were discovered in the containment

  • Bird deterrent system is working and in good condition

  • Facility fencing is in good condition and is not in need of repairs

  • Pictures of Recycling Facility

  • Comments

  • Date and Time

  • Inspector

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