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~~ rt adVater 9~lonit®rirog F®rrra <br />Site:~,~~yyO~ ~or1~ Sampled/Inspected By:~~,s~-~-_~~ <br />Date/Quarter: IS~- c~ua~r a Timer <br />Circle One: Groundwater Surfacewater <br />Type of Monitoring: QSW QGW Triennial Piezometer <br />(circle) <br />Monthly1S/W NPDES mpoundment/I'nspection <br />V~ield M' /easurements: pH _ /~ Flow: ~ ft. =1t~[~_ Cfs <br />eC N/~ uS Depth to Wafer/: ft. Temp //~ C Gil (Y /~ <br />Sample Taken: YES ~ (Circle One) I- <br />Impoundment Criteria: <br />Circle One <br />1) Appearance of Structural Weakness (Yes , o) Description if Yes <br />i 2) Other Hazardous Conditions Present (' <br />Voiurv~e Forrvaaal~s for 1Nel9s: <br />All Wells Except Below: <br />Description if Yes <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 />Motes: <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 Data In - CF 21.1.2 <br />CF 23.7.3 4/29/04 <br />