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• FlVater ~I®nat®t~ert~g F®irf111 <br />Site: ~p Sampled/Inspected By: k <br />DatelQuarter: Is-~- l~ung~(' aQ7~ Time: <br />Circle One: Groundwater Surfacewater <br />Type of Monitoring: QSW QGW Triennial Piezometer <br />(circle) <br />Monthly SW NPDES mpoundment Inspection <br />Field Measurements: pH ~ Flow: ~ ft. _ ~ Cfs <br />eC uS Depth to Water: ft. Temp ~/~_ C Oil (Y / <br />Sample Taken: YES ~ (Circle One) /- <br />Impoundment Criteria: <br />Circle One <br />1) Appearance of Structural Weakness (Yes o) Description if Yes <br />,~ 2) Other Hazardous Conditions Present (Yed <br />Volume F®rmu9as 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 />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 />