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• Water ICI®o~cfi®ria~g ~®rlrra <br />Site: ~q,5'~' Qyed~'IOaJ ~o~ Sampled/Inspected By: <br />Date/Quarter: (s} r ~op~ Time: <br />Circle ®ne: Groundwater SurFacewater <br />Type of Monitoring: OSW QGW Triennial Piezometer <br />(circle) <br />Monthly SW NPDES Impoundment Inspection <br />f=ield M,e/a,,surements: pH nlf~/• Flow: ft. = ~ Cfs <br />eC N/}(- uS Depth to Water:TA/1}~ ft. Temp ~ C Oil (Y /® <br />Sample Taken: YES ~ (Circle One) <br />Impoundment Criteria: <br />Circle e <br />1) Appearance of Structural Weakness (Ye o Description if Yes <br />• 2) Other Hazardous Conditions Present (Ye o Description if Yes <br />9/oltnme 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 <br />4!29/04 <br />