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• Water Monitoring Form <br />Site: LQ S C, Sampled/inspected By: SB <br />Date/Quarter: g O Oy Time: D~,yS~ <br />Circle One: Groundwater SurFacewate <br />Type of Monitoring: OSW QGW Triennia! Piezometer <br />(circle) <br />Monthly SW NPDES Impoundment Inspection <br />Field Measurements: pH~ ~Y _ Flow: ,`oZ ft. _ /. 016 Cfs= D.B~ t~10 <br />N l~ <br />eC ol0 !, uS Depth to Water: ft. Temp /~_3 C Oii (Y N ) <br />Sample Taken: YES NO (Circle One) <br />Impoundment Criteria: <br />Circle One <br />• 1) Appearance of Structural Weakness (Yes/No) Description if Yes <br />2) Other Hazardous Conditions Present (Yes/No} 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-8: <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" ~ 008A West Pit 30" ~ OD9A <br />Sec. 16 18" - 010A E. Taylor 30" <br />Enter Fiefq Data )n - CF 21.1.2 <br />CF 23.7.3 4Y19/04 <br />L47159: Page 19of23 <br />