HYDRO20338

• Permit No: C1981015
• IBM Index Class Name: Hydrology
• Doc Date: 6/14/1981
• Doc Name: WATER SAMPLE COLLECTION FORM
• Permit Index Doc Type: OTHER GROUND WATER
• Media Type: D
• Archive: No

WATER SAMPLE COLLECT]ON FORM
. • ~ ~~*IIIIIIIIIIIIIIIIIII
. i
t , Date June 14, 1981
Name of Person Taking Samples David A. Young
Surface Water
Monitoring Location Ground Water
Monitoring Well No. Depth to No. of
Water Level Samples
Temp.
1- CM 1 159' 7" ] 150C
2, CM 2 193' S" 1 130C
3- CM 3 199' 9" 1 140C
4- CM 4 110' 0" 1 160C

5 -

CM 7 /~{3' 7 ' -ry~o
„ PER D.Y= .~r,- I
?-F'
130C
6' ?year M 1 ------- app. 3/4 cfs 1 120C
~ - PS 1 Dry -- --
8. M 2 Dry -- -•-
9. TS 3 Dry -- __
10.
11.
12.
r
Ground Water Monitoring Well Information:
Well Designation Strata Penetrated Depth Perforated Interval
~~ l