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Water Monitoring Form <br />Site: '} Scy~ Sampled/Inspected By: ,,~ <br />Date/Quarter:~Q~~~r x003 Time: <br />Circle One: Groundwater <br />Type of Monitoring: QSW <br />(circle) <br />Surtacewater <br />QGW Triennial Piezometer <br />Monthly SW NPDES <br />Field Measurements: pH <br />eC ~ uS Depth to Water: ~ ft. <br />Sample Taken: YES ~O <br />Impoundment Criteria: <br />Flow: <br />Impoundment Inspection <br />ft. _ ~ Cfs <br />Temp ~ C Oil (Y /~ <br />(Circle One) <br />1) Appearance of Structural Weakness (Yesi6~o}J 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 27.1.2 <br />CF 23.7.3 4/29/04 <br />