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Water Monitoring Form <br />Site: h 1-b~ PoYtG~ Sampled/Inspected By: ~Cut~- g~~~-~- <br />Date/Quarter: ~ uad~t(a~0O,3 Time: il/ <br />Circle One: Groundwater Surfacewater <br />Type of Monitoring: OSW OGW Triennial Piezometer <br />(circle) <br />Monthly SW NPDES Impoundment Inspection <br />Field Measurements: pH it/ ~} Flow: ~ ft. = ry /~ Cfs <br />eC ~ uS Depth to Water.. ft. Temp ~C OTTiI (Y /~ <br />Sample Taken: YES NO (Circle One) <br />Impoundment Criteria: <br />Circle One <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 />