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~_ <br />Water Monitoring Form <br />Site:~p,r~pr) Tondt Sampled/Inspected By: <br />Date/Quarter: I ~- Qr.n~r a Time: <br />Circle One: Groundwater Surfacewater <br />Type of Monitoring: QSW OGW Triennial Piezometer <br />(circle) <br />Monthly SW NPDES mpoundment Inspection <br />Field M/easurements: pH - _l~{- Flow: ~~ / ~ft. _ ___~[~~ Cfs <br />eC _71//}1;- uS Depth to Water/:~ ft. Temp n//f~ C Oil (Y /~ <br />Samp{~e T"a~ken: YES ~ (Circle One) 'T~ <br />Impoundment Criteria: <br />Circle One <br />1) Appearance of Structural Weakness (Yes , o) Description if Yes <br />2) Other Hazardous Conditions Present <br />Volume Formulas for Wells: <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 />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 <br />4/29/04 <br />