If any response to the checklist questions leads to a Phase 2 ESA requirement, an environmental site assessment must be conducted in accordance with Compliance Option Three. If insufficient information is available to allow completion of the Compliance Option One checklist, Compliance Option Two or Three (Phase 2 ESA) must be completed.

1. General Disposal and Drilling Fluid Information:

If some or all of the drilling waste was managed on-site (the wellsite) or at a landtreatment area or a remote sump, then the checklist must be completed. In some cases, the drilling waste may have been managed at a remote sump/site that is not linked to the wellsite and as such a separate reclamation certificate is required for that separate location. If the remote sump or land treatment area is linked to the wellsite, proceed with the checklist for the remote sump or land treatment area. Where remote sumps are associated with multiple disposals managed in separate cells complete one checklist per disposal. Otherwise, complete one checklist by combining the information from all notification forms.

Section 1.0 to 1.3 must be completed for all disposals. The remaining sections do not need to be completed for wastes disposed of by the following methods:

a) If drilling waste was managed at an AER or ESRD approved waste management facility, indicate this using the appropriate checkbox below and list the supporting documentation (e.g. waste manifests, truck tickets, invoices, Alberta Oilfield Waste Management Form) under Reference Documents.

b) If the waste was disposed at an off-site location by pump-off, landspraying or landspray-while-drilling (LWD), or disposal onto forested public lands and the Notification of Drilling Waste Disposal Form, Drilling Waste Management Disposal Form, Drilling Waste Pipeline Disposal Form, or equivalent indicates the disposal method and location.

The notification form will indicate the type of drilling fluid system used. Water-based drilling fluids can be described in numerous ways for example; gel chem, floc water, fresh water gel, gypsum water, nitrate gypsum water, etc.

1.0 Well Information:	Unique Identifier (UI)
Spud Date
Well Depth

1.1 Disposal Method (Check all that apply):

On-site

Mix-bury-cover

Landspread

Biodegradation, including land treatment

Landspray-while-drilling

Landspray

Pump-off

Disposal onto Forested Public Lands

Remote Sump/Site

Mix-bury-cover

Landspread

Biodegradation, including land treatment

Landspray-while-drilling

Pump-off

Landspray

Other, specify:

Disposal onto Forested Public Lands
Off-site

Landspray-while-drilling

Landspray

Pump-off

Disposal onto Forested Public Lands

Land Fill/Waste Management Facility

Yes	No
1.2 Were there other drilling waste disposal events on the site (e.g. wellbore re-entry or another well drilled, using fluids containing drilling fluid additives)? If yes, were the disposal areas separate from one another? If the disposal areas were not separate, is documentation available to show that a disposal plan was followed that was agreed to by the licensee and the regulator?	Drilling waste information must be evaluated for each disposal Disposal plan and confirmatory information must be retained on file and provided to the AER upon request.	Compliance Option Two or Three required
1.3 Were cuttings or solids disposed of on-site that were associated with off-site waste disposal? If Yes, is separate analytical information or unique notification available? If separate information or notification is not available, is the known volume (include references in Reference Documents) or estimated volume of waste disposed of on-site less than 50 m3? If the volume of cuttings or solids disposed of on-site is unknown, estimate the volume using following calculation and enter the data and results at right*: VC = VT - VOFF Where: VC = Volume of cuttings or solids on-site (m3) VOFF = Volume of cuttings or solids disposed of off-site (m3) VT = Total volume of cuttings or solids (m3) and: VT = Where: WDm = Well diameter (mm) WDp = Well Depth (m) * If different hole sections have different diameters, VC may be calculated for each section separately. Provide the data and result for each section at right or as an attachment.	Enter data below: VC = (m) VT = (m) VOFF= (m3) WDm = (mm) WDp = (m)	Phase 2 required
1.4 Were water-based drilling fluids used (gel chemical drilling fluid system)? If Yes, were all or part of the wastes disposed of on-site?
1.5 Was the drilling fluid described as an advanced gel chemical system? If Yes, were all or part of the wastes disposed of on-site before November 1, 2012? If wastes were disposed of on-site before November 1, 2012, was the disposal done in compliance with an approval from the AER?	Approval and post-disposal sampling results must be retained on file and provided to the AER upon request.	Compliance Option Two or Three Required
1.6 Is a mud list available and can all the additives on the mud list be identified and described? Record the additives and their description (e.g., chrome-free lignosulfonate, aldehyde-based bactericide, etc.) on the attached form.	Phase 2 required
1.7 For mix-bury-cover disposal, was the disposal completed before November 1, 2012? If Yes, was calculated or measured post-disposal chloride concentration 800 mg/kg or less?	Phase 2 required
1.8 For mix-bury-cover or landspread disposal, was the disposal completed on or after November 1, 2012? If yes, did electrical conductivity, nitrogen concentration or sodium loading rate trigger a requirement for post-disposal sampling? If post-disposal sampling was required, did all post-disposal samples meet the soil endpoints specified in Section 3 of Directive 50 (2012 version).	Phase 2 required
1.9 Was a remote site used? If Yes, is the remote site included in this reclamation application? If not included, is the remote site a multi-well disposal location?	In Comments section, indicate which well the remote site will be linked with for the purposes of reclamation	Single well remote disposal site must be included with reclamation certificate application, unless it already has received a Reclamation Certificate.
1.10 Were cement returns buried on-site or at a remote site linked to the well?

2. Hydrocarbon & Toxicity Management

If hydrocarbon based drilling fluids were used (i.e. diesel inverts, synthetic or mineral oil systems) or hydrocarbons were added to the drilling fluid or the well is a horizontal oil well then it must be demonstrated that the resulting drilling waste was handled appropriately as per Directive 50 or Directive 58. In most cases, if hydrocarbons were added to the system or if the well was a horizontal oil well it is still possible to dispose of the resulting drilling waste on the location and remain within allowable disposal limits but hydrocarbon testing and toxicity testing must have been conducted and documented.

Yes	No
2.1 Were hydrocarbon-based drilling fluids used or were hydrocarbons added to the drilling fluid or was the well a horizontal oil well? If Yes, is documentation available showing that the wastes were disposed of in a manner consistent with Directive 50 (1996 version for disposals before November 1, 2012 or 2012 version for disposals on or after November 1, 2012) or Directive 58?	Phase 2 required

Yes	No
2.2 For mix-bury-cover or landspread disposal, was the disposal completed before November 1, 2012 and was hydrocarbon present? If yes to both, is the predicted post-disposal hydrocarbon concentration at or below the appropriate guideline? (subsoil: 0.1%, topsoil: 0.5%)?	Phase 2 required
2.3 For mix-bury-cover or landspread disposal, was the disposal completed on or after November 1, 2012? If yes, did hydrocarbon concentrations in the waste trigger a requirement for post-disposal sampling? If post-disposal sampling was required, did all post-disposal samples meet the soil endpoints specified in Section 3 of Directive 50 (2012 version).	Phase 2 required
2.4 Was a luminescent bacteria toxicity (Microtox) test required? If Yes, did the waste pass the toxicity test requirements as outlined in Directive 50 (waste must pass either the original or charcoal toxicity test)? If the waste failed the toxicity test (i.e., EC50 (15) original and EC50 (15) charcoal treated, reading at 15 minutes < 75%) is there evidence that demonstrates the waste was treated to remove toxicity and retested or disposed of as per Directive 58 (i.e., appropriately approved waste management facility)?	Phase 2 required

3. Metals (Trace Elements) Management

Some drilling fluids contain trace metals and other toxic compounds. Metal-containing additives that have been or are being used include barite (BaSO4), zinc carbonate (ZnCO3), and chrome-based thinners. If these additives were used, the attached calculation tables must be completed and the results used to determine if a Phase 2 ESA is required.

Yes	No
3.1 Was the disposal completed before November 1, 2012?	Complete questions 3.2 to 3.5	Go to question 3.6
3.2 Was barite added to the drilling fluid? If Yes, did it meet the requirements specified in the attached metal calculation table?	Show calculation on attached form	Phase 2 required
3.3 Was zinc carbonate added to the drilling fluid? If Yes, did it meet the requirements specified in the attached metal calculation table?	Show calculation on attached form	Phase 2 required (Cadmium analysis will also be required.)
3.4 Were chrome-based thinners added to the drilling fluid? If Yes, did it meet the requirements specified in the attached metal calculation table?	Show calculation on attached form	Phase 2 required
3.5 Were any other metals added that triggered testing required by Section 3 or 5 of Directive 50 (1996 version)? If Yes, are waste analytical data and application rates (land treatment, landspreading) or maximum application (mix-bury-cover) available? If above data are available, did the application rate or maximum application meet Directive 50 (1996 version) requirements?	Phase 2 required Phase 2 required
3.6 Did metal concentrations in the waste trigger a requirement for post-disposal sampling? If yes, did all post-disposal samples meet the soil metal endpoints specified in Section 3 of Directive 50 (2012 version)?	Phase 2 required

Mud Additives (Attach additional pages if necessary.)

Product Name	Amount Used (units)	Brief Description of Product

Reference Documents (List all source documents used in the completion of this checklist. Attach additional pages if necessary. Documents must be supplied to the AER if requested.)

Comments (Please provide any additional comments relevant to the decision process within the checklist. Attach additional pages if necessary.)

Compliance Option 2 - Drilling Waste Disposal Assessment Checklist

If any response to the checklist questions leads to a Phase 2 ESA requirement or there is insufficient information to complete the Compliance Option Two Checklist, a Phase 2 ESA must be conducted in accordance with Compliance Option Three.

1. General Disposal and Drilling Fluid Information:

The well licensee should be able to review various sources of information pertaining to the drilling activities on-site. Many information sources, other than the Notification of Drilling Waste Disposal, Drilling Waste Management Disposal Form, or Drilling Waste Pipeline Disposal Form can be reviewed for information relating to the drilling waste disposal and drilling fluid systems. These can include Tour Reports, daily drilling records, well files, and contractor invoices.

1.0 Well Information:	Unique Identifier (UI)
Spud Date
Well Depth

1.1 Disposal Method (if known)*:

*	If waste was disposed at an AER or ESRD approved facility, list supporting documentation under Reference Documents.

1.2 Disposal Location (if known)**:

**	If checklist indicates that a Phase 2 ESA (Compliance Option Three) is required, it must be undertaken at the disposal location. If the disposal location is unknown, the Phase 2 ESA must be undertaken at the wellsite.

For the purpose of this form: if the disposal method and/or location remains unknown after all available information sources have been checked, the drilling waste disposal location is assumed to be on-site.

Yes	No
1.3 Were there other drilling waste disposal events on the site (e.g. wellbore re-entry or another well drilled, using fluids containing drilling fluid additives)? If yes, were the disposal areas separate from one another?	Drilling waste information must be evaluated for each disposal.	Drilling waste information must be evaluated by combining the drilling fluid additives and well depths. If drilling waste information is missing or incomplete for one or both wells, a Phase 2 (Compliance Option Three) is required.

Yes	No
1.4 Was a remote site used? If, Yes, is the remote site included in this reclamation application? If not included, is the remote site a multi-well disposal location?	In Comments section, indicate which well the remote site will be tied to for the purposes of reclamation	Single well remote disposal site must be included with reclamation certificate application, unless it already has received a Reclamation Certificate.
1.5 Has the well licensee reviewed the Daily Drilling Records and other available drilling documentation?	Phase 2 required
1.6 Can it be determined from the available records what type of drilling fluid system was used?	Phase 2 required
1.7 Were water-based drilling fluids used for all sections (i.e., gel chemical drilling fluid systems)? If No, is there evidence that demonstrates the non-water based wastes were disposed of in a manner consistent with Directive 50 (1996 version for disposals before November 1, 2012 or 2012 version for disposals on or after November 1, 2012) or Directive 58 (i.e., appropriately approved waste management facility)?	Phase 2 required
1.8 Is a mud list available? If Yes, can all the additives on the mud list be identified and described? Record the additives and their description (e.g., chrome-free lignosulfonate, aldehyde-based bactericide, etc.) on the attached form.	Phase 2 required Phase 2 required
1.9 Do the Daily Drilling Records show evidence of a flow or kick that may have resulted in the introduction of produced fluids (i.e., hydrocarbons or salts) into the drilling fluids? If Yes, is there information/documentation available to demonstrate that they were appropriately treated or disposed of as per Directive 50 or Directive 58 (i.e., approved waste management facility)?	Phase 2 required
1.10 Do the Daily Drilling Records show evidence of returned drill stem test fluids? If Yes, is there information/documentation available to demonstrate that they were appropriately treated or disposed of as per Directive 50 (1996 version for disposals before November 1, 2012 or 2012 version for disposals on or after November 1, 2012) or Directive 58 (i.e., approved waste management facility)? If treatment or disposal as per Directive 50 (1996 version for disposals before November 1, 2012 or 2012 version for disposals on or after November 1, 2012) or Directive 58 cannot be confirmed, is there sufficient information/documentation available to complete the DST calculations?	Show calculation on attached form	Phase 2 required
1.11 Were cement returns buried on-site or at a remote site linked to the well?

2. Hydrocarbon Management

Yes	No
2.1 Was hydrocarbon-based drilling fluid used? If Yes, is there evidence that wastes were disposed of in a manner consistent with Directive 50 (1996 version for disposals before November 1, 2012 or 2012 version for disposals on or after November 1, 2012) or Directive 58 (i.e., approved waste management facility)?	Phase 2 required

Yes	No
2.2 Was the well a horizontal oil well? If Yes, is there evidence that wastes were disposed of in a manner consistent with Directive 50 (1996 version for disposals before November 1, 2012 or 2012 version for disposals on or after November 1, 2012) or Directive 58 (i.e., approved waste management facility)?	Phase 2 required
2.3 Was the well drilled using under-balanced techniques? If Yes, is there information/documentation available to demonstrate that the drilling wastes were disposed of in a manner consistent with Directive 50 (1996 version for disposals before November 1, 2012 or 2012 version for disposals on or after November 1, 2012) or Directive 58 (i.e., approved waste management facility)?	Phase 2 required
2.4 Was hydrocarbon added to the drilling fluid? If Yes, was the hydrocarbon contaminated drilling waste disposed of in a manner consistent with Directive 50 (1996 version for disposals before November 1, 2012 or 2012 version for disposals on or after November 1, 2012) or Directive 58 (i.e., approved waste management facility)?	Phase 2 required

3. Metals (Trace Elements) Management

Yes	No
3.1 Was the disposal completed before November 1, 2012?	Complete questions 3.2 to 3.5	Go to question 3.6
3.2 Was barite added to the drilling fluid? If Yes, did it meet the requirements specified in the attached metal calculation table?	Show calculation on attached form	Phase 2 required

Yes	No
3.3 Was zinc carbonate added to the drilling fluid? If Yes, did it meet the requirements specified in the attached metal calculation table?	Show calculation on attached form	Phase 2 required
3.4 Were chrome-based thinners added to the drilling fluid? If Yes, did it meet the requirements specified in the attached metal calculation table?	Show calculation on attached form	Phase 2 required
3.5 Were any other additives used that would have triggered testing for metals under Section 3 or 5 of Directive 50 (1996 version)? If Yes, are waste analytical data and application rates (land treatment, landspreading) or maximum application (mix-bury-cover) available? If above data are available, did the application rate or maximum application meet Directive 50 requirements?	Phase 2 required Phase 2 required
3.6 Did metal concentrations in the waste trigger a requirement for post-disposal sampling? If yes, did all post-disposal samples meet the soil metal endpoints specified in Section 3 of Directive 50 (2012 version)?	Phase 2 required

4. Salinity Management

Yes	No
4.1 Does the water based drilling waste meet the requirements specified in the attached Salt Calculation Table?	Show calculation on attached form	Phase 2 required
4.2 Was a salt zone encountered during drilling? If Yes, is there evidence that demonstrates the drilling wastes were disposed of in a manner consistent with Directive 50 (1996 version for disposals before November 1, 2012 or 2012 version for disposals on or after November 1, 2012) or Directive 58 (i.e., appropriately approved waste management facility)?	Phase 2 required

Mud Additives (Attach additional pages if necessary.)

Product Name	Amount Used (units)	Brief Description of Product

Reference Documents (List all source documents used in the completion of this checklist. Attach additional pages if necessary. Documents must be supplied to the AER if requested.)

Comments (Please provide any additional comments relevant to the decision process within the checklist. Attach additional pages if necessary.)