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N19~iter 9Vi®nit®ring F®rf~ <br />Site: ~g5~' Qye~p~ ~p~n~ Sampled/Inspected By: ~ r~/- c,~j~~,c~ti~ <br />Date/Quarter: ~ s~ r r ~®O~ Time: ~/~ <br />Circle One: Groundwater Surtacewater <br />Type of Monitoring: QSW QGW Triennial Piezometer <br />(circle) <br />Monthly SW NPDES Impoundment Insp- ect <br />Field M'e/asurements: pH //. Flow: _~/~~- ft. _ ~~ Cfs <br />eC N/}p- uS Depth to Water: N~~ ft. Temp%_aJfj~ C Oil (Y /~ <br />Sam----ple Ta"`ken: YES ~ (/Circle One) _1- <br />Empoundment Criteria: <br />Circle e <br />1) Appearance of Structural Weakness (Ye PGo Description if Yes <br />I l 2) Other Hazardous Conditions Present (Ye ~ o Description if Yes <br />Volume Formulas for 11~9e11s: <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 />dotes: <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" ~ 008A West Pit 30" ~ 009A <br />Sec. 16 18" ~ 010A E. Taylor 30" <br />Enter Field Uata In - CF 27.1.2 <br />-_ CF 23.7.3 4/29/04 <br />