Title Page
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Conducted on
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Prepared by
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Location Name
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Permit Number
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Location
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Recycling Facility
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Recycling Containment
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Facility is free of evidence of leaks, spills or releases
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Facility is still being used for the recycling of produced water
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Facility sign is visible and in good condition
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Comments
Recycling Containment
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Containment has a minimum of three feet of freeboard
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Containment is free of evidence of surface water run-on
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Containment water surface is free of visible signs of oil
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Oil absorbent booms are on-site and in good condition
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Injection and withdrawal of water is done through a header
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There is no evidence of a leak in the liner above the waterline
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Leak detection was checked, and does not show signs of a release
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No migratory birds were discovered in the containment
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Bird deterrent system is working and in good condition
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Facility fencing is in good condition and is not in need of repairs
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Pictures of Recycling Facility
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Comments
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Date and Time
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Inspector
