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<br />• Water Monitoring Form <br />Site: Qa1 sti Sampled/inspected By: S n <br />Date/Quarter: fC~/o <l Time: 6~i~S"' <br />~: <br />Circle One: Groundwater Surfacewater <br />Type of Monitoring: OSW QGW Triennial Piezometer <br />(circle) <br />Monthly SW NPDES Impoundment Inspection <br />Field Measurements: pH ~.Da Flow: •Dg ft. = 6.09 Cfs=o.ord'.r+6~o <br />eC ~ [~ uS Depth to Water: ,y~}i _ ft. Temp ~ G . 8 C Oil (Y tit ) <br />Sample Taken: 0 NO (Circle One) <br />Impoundment Criteria: <br />Circle e <br />• 1) Appearance of Structural Weakness (Ye /N Description if Yes <br />2) Other Hazardous Conditions Present (Yes o Description if Yes <br />Volume Formulas for Wells: <br />All Wells Except Below: <br />(0.785) (0.0625), ( ft. of water column in well) (7.48)= gals <br />(3 X # gallons) for total pumping volume = gals <br />Wells A-7, A-B: <br />(0.785) (0.0289) ( ft. of water column in well) (7.48)= gals <br />(3 X # gallons) for total pumping volume = gals <br />Notes: <br />001 A 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 21.7.2 <br />CF 23.7.3 4!29/04 <br />L47159: Page 18 of 23 <br />