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i® i <br />`~ <br />~~ <br />~I~~~a° ~®o•au$®~ar~~ ~®~u~rn <br />sine: (~D~_ Sampled/Inspected By: Sa <br />Daae/Quarter:_~ Time: /_3S?~ <br />Circle One: Groundwater Surfacewater <br />Sample Taken: YES NO (Circle One) <br />Type ofi Monitoring: OSW QGW Triennial Piezometer <br />(circle) <br />Monthly SW NPDES Impoundment Inspectio <br />Field Measaarements: pH_~_ Flow: _~ ft. = Cfs <br />eC S/~! uS Depfh fo Water: ~ ft. Temp l~ C Oil (Y>~ <br />imp®undment Criteria: <br />Circle O e <br />1) Appearance of Structural Weakness (Ye o Description if Yes <br />2) Other Hazardous Conditicns Present (Ye o Description if Yes <br />V®9atrroe Foe~xssa9es ~®r lli4eNs: <br />All Wells Except Below: <br />(0.785) (0.0625) ( Ya. of water column in well) (7.48)= .gals <br />(3 X # gallons} for total pumping volume = gals <br />Wells A-7, A-8: <br />(0.785) (0.0289) ( ft. ofi water column in well) (7.48)= gals <br />(3 X # gallons) for total pumping volume = gals <br />L ~ )t <br />001A Streeter 12" ~ 002A Work Area 9" - 003A Gossard 9" - 004A Gulch A 9" <br />005A Stoker 9" - 006A loop 9" _ 007A Prospect 30" ~ OOSA West Pit 30" - 009A <br />Sec. 16 18" - 010A E. Taylor 30" <br />Enter Field Data In ^ CF 21.1.2 <br />d~ CF 23.7.3 4129104 <br />~ti <br />L46870: Page 10 of 10 <br />