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(- Water Monitoring Form <br />Site: ~ ~~ ~,,,,P Sampled/Inspected By: ~u <br />Date/Quarter: l~s} ~ app~y! Time: <br />Circle One: Groundwater Surfacewater <br />Type of Monitoring: QSW QGW Triennial Piezometer <br />(circle) <br />Monthly SW NPDES Impoundment Inspection <br />Field Measurements: pH ~/~,¢- Flow: ,t/~,d- ft. _ Cfs <br />eC ,x/1,4 uS Depth to Water~ft. Temp~1"~/~~C Oil (Y.~1 <br />Sample Taken: YES ~ (Circle One) "' I'T <br />Impoundment Criteria: <br />Circle e <br />1) Appearance of Structural Weakness (Ye o) Description if Yes <br />2) Other Hazardous Conditions Present <br />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 />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 />