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<br /> <br /> <br />UNI TATES ENVIRONMENTAL PROTECTION AGENCY <br />A WASHINGTON, DC 20460 <br />~s-EPA INJECTION WELL MONITORING REPORT form Approved <br />OMB No. 2000-0042 <br />Approval expires9-30-86 <br />YEAR ~ MONTH ~ MONTH MONTH <br />Injection Pressure (PSI) <br />1. Minimum <br />2. Average <br />3. Maximum <br />Injection Rate (Gal/Min) <br />7. Minimum <br />2. Average <br />3. Maximum <br />Annular Pressure (PSI) <br />1. Minimum <br />2. Average <br />3. Maximum <br />Injection Volume (Gal) ' <br />1. Monthly Total <br />2. Yearly Cumulative <br />Temperature IF°) <br />1. Minimum <br />2. Average <br />3. Maximum <br />pH <br />1. Minimum <br />2. Average <br />3. Maximum <br />Other <br /> <br /> <br /> <br /> <br /> <br />Name and Address of Permittee Permit Number <br />Name antl Official Title (P/ease (ype or prior) Signature Date Signed <br />EPA Form 7520-8(2-84) <br />