APPENDIX O – BI-WEEKLY MEETING MINUTESMeeting Notes Meeting Subject: CERT Pilot Study Bi-Weekly...
Transcript of APPENDIX O – BI-WEEKLY MEETING MINUTESMeeting Notes Meeting Subject: CERT Pilot Study Bi-Weekly...
APPENDIX O – BI-WEEKLY MEETING MINUTES
Meeting Notes
Meeting Subject: CERT Pilot Study Bi-Weekly Progress Meeting Meeting Date: 10/04/2017 Start Time: 9:00 AM End Time: 10:00 AM Location: Site Office (100 N. Hwy 74, Guthrie, OK) and Conference Call
Call-In: 1-866-429-9395 Conference Code: 332-949-2015 Project Name: CERT-Pilot Study Project No.: 96785 Attendee Organization Title Eric Dulle* Burns & McDonnell
Engineering Company, Inc. (Burns & McDonnell)
Project Engineer
Bill Halliburton Burns & McDonnell Trustee Jody Weikart Burns & McDonnell Site Manager John Hesemann Burns & McDonnell Project Manager Jeff Lux Environmental Properties
Management (EPM) Project Manager
Dane Kaylor Enercon Radiation Protection Monitor Chuck Beatty Enercon Radiation Protection
Supervisor Johnny Gillman RSI Site H&S Supervisor Doug Cox RSI Site Superintendent
* indicates meeting organizer Meeting Minutes: During the meeting, the following was discussed: 1. Health and Safety (H&S) (E. Dulle and J. Weikart)
a. Safety Moment – E. Dulle summarized recent safety stand-downs and discussed overall safety awareness
b. Project Safety Summary J. Weikart discussed the requirement for having all personnel onsite
(within the active working area) wearing high visibility reflective material. Task Safety Observation (TSO) participation has been satisfactory, with
26 TSO cards completed by RSI since the start of construction. TSO feedback indicates the biggest risks include uneven surfaces and small stumps remaining after brush removal.
There have been no safety issues or violations. A safety audit by Burns & McDonnell personnel is currently scheduled for
10-11-17.
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Meeting Notes (cont’d)
2. Radiation Protection monitoring (D. Kaylor) a. No radiation activity has been observed above background. b. Scanning of subsurface and disturbed soils will continue throughout the project. c. Equipment in contact with soils will be scanned prior to mobilizing out of the area
(eg, before mobilizing from BA1 to UP2). d. Enercon completed the initial site gamma survey. e. C. Beatty requested additional dust control measures to minimize inhalation
exposure. RSI indicated that additional water truck usage for dust control is being implemented.
3. Construction Progress Updates (J. Gillman/D. Cox) a. Activities completed since last meeting include:
Erosion control measures have been installed at BA1 and UP2. Staging areas (frac tanks, equipment staging, temporary office space, etc)
have been established. Removal of topsoil and overburden from the BA1 extraction and injection
trench location has been completed. The working platform for the extraction trench has also been completed.
b. Activities planned for the next week Due to the impending storm events, RSI is evaluating beginning the
injection trench early next week (10-9-17). Immediately following achieving injection trench depth, RSI will begin
excavation activities at the extraction trench. RSI will begin mixing slurry next week; RSI is currently planning to work
through the next weekend. RSI will submit a new schedule to E. Dulle for review by 10-9-17. RSI
noted that although there will be a change in the sequence of activities, the total project duration is not anticipated to change significantly.
At this time, waiting on the removal of overhead power lines in UP1 by Oklahoma Gas and Electric (OG&E) has not caused project delays. This will continue to be evaluated as work progresses.
4. Quality Assurance (J. Weikart) a. Submittals Schedule
Burns & McDonnell has approved all submittals provided by RSI. There are no outstanding submittals at this time.
b. Storm Water Pollution Prevention Plan (SWPPP) inspections The first SWPPP inspection occurred on September 28th following
approximately 3-inches of precipitation. No corrective measures have been necessary at this time.
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Meeting Notes (cont’d)
c. Confirmation of materials BA1 extraction trench piping materials and assembly have been inspected
and approved in accordance with the contract documents.
5. Cost/Budget Control (E. Dulle) a. Costs to date are in line with the baseline budget. b. Out-of-scope activities include additional clearing and grubbing in UP1 to
facilitate OG&E removal of overhead power lines. RSI has indicated the cost for this task will be included in their original clearing and grubbing budget.
c. RSI anticipates the first invoice will be submitted to Burns & McDonnell by 10-13-17.
d. B. Halliburton requested that the final invoice (i.e., work completed in December) be submitted in December to facilitate payment before the end of 2017.
6. Site Use (J. Weikart) a. Cimarron Holdings/Stewart Industries has requested that unloading of heavy
equipment does not take place on asphalt lot. RSI has made the necessary adjustments.
b. Burns & McDonnell and Stewart Industries have agreed to protocols for securing the property at the end of each working day. Burns & McDonnell will lock the main gate if it is apparent that Stewart Industries personnel have left the site.
7. Open Discussion (All) a. Burns & McDonnell submitted a request to OG&E to test and ground the
overhead electric lines in preparation for excavation activities in UP1. At this time EPM will pay the OG&E invoice, when submitted.
b. J. Lux indicated a Phase I environmental site assessment will be conducted during the 4th Quarter. J. Lux will provide an update as to the date this assessment will occur.
UPDATE: The Phase I assessment was conducted on Thursday, October 5. The tour included portions of the Southwest Quarter (i.e., outside the pilot study construction area). The Phase I is considered complete at this time.
c. Burns & McDonnell has requested that RSI provide notification by 9:00am each Wednesday if they intend to work over the following weekend.
d. J. Lux indicated he has not received feedback from Nuclear Regulatory Commission (NRC) as to an inspection date. J. Lux will contact NRC to obtain an estimate.
e. J. Weikart issued a reminder that water obtained from the on-site pump should be tracked separately from water obtained from the off-site hydrant.
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Meeting Notes (cont’d)
cc: J. Hesemann C. Beatty D. Cox J. Gillman G. Sherwood
Meeting Notes
Meeting Subject: CERT Pilot Study Bi-Weekly Progress Meeting Meeting Date: 10/18/2017 Start Time: 10:00 AM End Time: 11:00 AM Location: Site Office (100 N. Hwy 74, Guthrie, OK) and Conference Call
Call-In: 1-866-429-9395 Conference Code: 5134905331 Project Name: CERT-Pilot Study Project No.: 96785 Attendee Organization Title Eric Dulle* Burns & McDonnell
Engineering Company, Inc. (Burns & McDonnell)
Project Engineer
Bill Halliburton Burns & McDonnell Trustee Jody Weikart Burns & McDonnell Site Manager Jeff Lux Environmental Properties
Management (EPM) Project Manager
Dane Kaylor Enercon Radiation Protection Monitor Chuck Beatty Enercon Radiation Protection
Supervisor Johnny Gillman RSI Site H&S Supervisor Doug Cox RSI Site Superintendent
* indicates meeting organizer Meeting Minutes: During the meeting, the following was discussed: 1. Health and Safety (H&S) (E. Dulle and J. Weikart)
a. Safety Moment – E. Dulle discussed general carbon monoxide safety precautions. b. Project Safety Summary
J. Weikart discussed the recent property damage incident that involved equipment contact with and damage to an existing monitor well in BA1. Jody also discussed the corrective measures being implemented, as detailed in the recent safety reports.
Task Safety Observation (TSO) participation has been satisfactory, with 27 TSO cards completed by RSI since the previous progress meeting.
A safety audit by Burns & McDonnell personnel was conducted on 10-11-17 and 10-12-17.
2. Radiation Protection monitoring (D. Kaylor) a. No radiation activity has been observed above background.
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Meeting Notes (cont’d)
b. Scanning of subsurface and disturbed soils will continue throughout the project. c. Equipment in contact with soils has been scanned prior to mobilizing out of the
area (eg, before mobilizing from BA1 to UP2). d. Dust control measures by RSI to minimize inhalation have been adequate. e. Jeff indicated that radiological activity measured in air has been below the
occupational limit
3. Construction Progress Updates (J. Gillman/D. Cox) a. Activities completed since last meeting include:
GWI-BA1-01 excavation and backfill have been completed. This includes installation of monitor and injection wells.
1. Topsoil installation and well completions remain to be completed. Erosion control measures have been installed around the UP1 and UP2
future work areas. UP2 overburden removal has been completed (to within 6” of potentially
impacted material. RSI has begun clearing in UP1 in preparation for overhead power line
removal. RSI has prepared the slurry mixture for GETR-BA1-01. Approximately
15’ of this trench has been excavated to depth. 1. RSI noted that sloughing of sidewalls began within approximately
6’ of excavation. However, once the slurry mixture was introduced, sloughing has not been observed.
b. Activities planned for the next week RSI will continue excavation activities at GETR-BA1-01. RSI projects
excavation to be completed by 10-19-17, at which point extraction piping and backfill will begin.
RSI will submit a new schedule to E. Dulle for review by 10-23-17. At this time there are no significant changes to the current schedule.
At this time, waiting on the removal of overhead power lines in UP1 by Oklahoma Gas and Electric (OG&E) has not caused project delays. This will continue to be evaluated as work progresses.
RSI is tentatively planning to have Cascade mobilize to the project site the week of 10-30-17.
4. Quality Assurance (J. Weikart) a. Submittals Schedule
Burns & McDonnell has approved all submittals provided by RSI. There are no outstanding submittals at this time.
b. Storm Water Pollution Prevention Plan (SWPPP) inspections
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Meeting Notes (cont’d)
Two post-precipitation inspections were conducted. Corrective actions were implemented for portions of silt fence damaged following a 5-inch precipitation event.
c. Confirmation of materials BA1 monitor, injection, and extraction trench materials and installations
were approved in accordance with the contract documents. 1. Minor modifications were made to the GWI-BA1-01A injection
well to achieve the required 24” of bentonite seal. Reduction of the screen length by 12” was approved by Burns & McDonnell.
d. Miscellaneous Compaction testing results for GWI-BA1-01 native material backfill lifts
indicated conformance with the contract documents.
5. Cost/Budget Control (E. Dulle) a. Costs to date are in line with the baseline budget. b. Out-of-scope activities include the use of a rock hammer to aid in sandstone
excavation. Rock hammer usage will be tracked by RSI on an hourly basis. Payment
will be made based on actual hourly usage.
6. Site Use (J. Weikart) a. J. Lux has requested that RSI provide an estimate for clearing of the drainage
channel located northwest of UP1. RSI agreed to provide a reasonable order of magnitude cost by next Wednesday (10-25-17)
7. Open Discussion (All) a. OG&E de-energized and grounded the overhead electrical lines on 10-2-17. J.
Lux is working to issue payment for line removal. b. RSI notified Burns & McDonnell of their intent to work over the following
weekend. c. J. Lux indicated he has not received feedback from Nuclear Regulatory
Commission (NRC) as to an inspection date. J. Lux will contact NRC to obtain an estimate.
d. Topsoil results have been submitted to Oklahoma State University for nutrient testing. Results are expected within the next 10 days.
cc: J. Hesemann C. Beatty D. Cox
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Meeting Notes (cont’d)
J. Gillman G. Sherwood
Meeting Notes
Meeting Subject: CERT Pilot Study Bi-Weekly Progress Meeting Meeting Date: 11/01/2017 Start Time: 10:00 AM End Time: 11:00 AM Location: Site Office (100 N. Hwy 74, Guthrie, OK) and Conference Call
Call-In: 1-866-429-9395 Conference Code: 5134905331 Project Name: CERT-Pilot Study Project No.: 96785 Attendee Organization TitleEric Dulle* Burns & McDonnell
Engineering Company, Inc. (Burns & McDonnell)
Project Engineer
Bill Halliburton Burns & McDonnell TrusteeJody Weikart Burns & McDonnell Site Manager Jeff Lux Environmental Properties
Management (EPM)Project Manager
Dane Kaylor Enercon Radiation Protection MonitorJohn Gillman RSI Project Manager Johnny Gillman RSI Site H&S Supervisor
* indicates meeting organizer Meeting Minutes: During the meeting, the following was discussed: 1. Health and Safety (H&S) (E. Dulle and J. Weikart)
a. Safety Moment – E. Dulle discussed general ambient temperature fluctuation precautions.
b. Project Safety Summary J. Weikart discussed housekeeping as it relates to GETR-BA1-01; RSI
continues to address general site organization as necessary. Task Safety Observation (TSO) participation has been satisfactory,
however participation has dropped over the past two weeks. RSI has addressed the need to increase participation going forward with personnel.
2. Radiation Protection monitoring (D. Kaylor) a. No radiation activity has been observed above background. b. Scanning of subsurface and disturbed soils will continue throughout the project. c. Equipment in contact with soils has been scanned prior to mobilizing out of the
area (eg, before mobilizing from BA1 to UP2).
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Meeting Notes (cont’d)
d. Equipment has been scanned for release surveys prior to being demobilized from the project.
e. A designated area has been established for staging and management of potentially impacted soils removed from GWI-UP2-01. Radioactive materials signs were used to clearly designate the area. Scanning of personnel and equipment entering this area is ongoing. No radiation activity has been observed above background.
f. Dust control measures by RSI to minimize inhalation have been adequate.
3. Construction Progress Updates (J. Gillman/D. Cox) a. Activities completed since last meeting include:
GETR-BA1-01 excavation and backfill have been completed. This includes installation of monitor and extraction wells.
1. Topsoil installation and well completions remain to be completed. Breaking of slurry used for GETR-BA1-01 excavation stabilization has
begun; broken slurry is being disposed of at the dry detention basin in accordance with the project specifications.
UP2 Sandstone A excavation has begun. 1. As stated above, potentially impacted material is being segregated.
Additional erosion control measures have been installed around this area.
b. Activities planned for the next week RSI will continue excavation activities at GWI-UP2-01. RSI projects
excavation to be completed by 11-03-17, including installation of the vertical GCL liner.
At this time, waiting on the removal of overhead power lines in UP1 by Oklahoma Gas and Electric (OG&E) has not caused project delays. This will continue to be evaluated as work progresses. OG&E is tentatively scheduled to be onsite the week of 11/6 or 11/13.
RSI was informed by Cascade that mobilization has been delayed to 11/9. RSI will discussion options with Cascade to make up schedule, including working the following weekend.
4. Quality Assurance (J. Weikart) a. Submittals Schedule
Burns & McDonnell has approved all submittals provided by RSI. There are no outstanding submittals at this time.
b. Storm Water Pollution Prevention Plan (SWPPP) inspections No SWPPP deficiencies have been observed since the last progress
meeting. c. Confirmation of materials
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Meeting Notes (cont’d)
BA1 monitor, injection, and extraction trench materials and installations were approved in accordance with the contract documents.
d. Miscellaneous Compaction testing results for GETR-BA1-01 native material backfill lifts
indicated conformance with the contract documents.
5. Cost/Budget Control (E. Dulle) a. Costs to date are in line with the baseline budget. b. Out-of-scope activities include the use of a rock hammer to aid in sandstone
excavation. Rock hammer usage will be tracked by RSI on an hourly basis. Payment
will be made based on actual hourly usage. The rock hammer has not been used since GWI-BA1-01.
6. Site Use (J. Weikart)
a. The estimate for clearing of the drainage channel located northwest of UP1 was received by RSI. This will be updated following evaluation of the topsoil fertilizer results (see below).
7. Open Discussion (All) a. RSI will not be working this weekend (11/4 and 11/5) in preparation for working
the next weekend (11/11 and 11/12). b. J. Lux indicated that Nuclear Regulatory Commission (NRC) intends to conduct a
site visit on 11/20. c. Topsoil results have been received by the laboratory; recommendations for
fertilizer have been submitted to RSI.
cc: J. Hesemann C. Beatty D. Cox J. Gillman G. Sherwood
Meeting Notes
Meeting Subject: CERT Pilot Study Bi-Weekly Progress Meeting Meeting Date: 11/15/2017 Start Time: 01:00 PM End Time: 02:00 PM Location: Site Office (100 N. Hwy 74, Guthrie, OK) and Conference Call
Call-In: 1-866-429-9395 Conference Code: 5134905331 Project Name: CERT-Pilot Study Project No.: 96785 Attendee Organization TitleEric Dulle* Burns & McDonnell
Engineering Company, Inc. (Burns & McDonnell)
Project Engineer
John Hesemann Burns & McDonnell Project Manager Chuck Beatty Enercon Radiation Protection
Supervisor Jody Weikart Burns & McDonnell Site Manager Jeff Lux Environmental Properties
Management (EPM)Project Manager
Dane Kaylor Enercon Radiation Protection MonitorJohn Gillman RSI Project Manager Johnny Gillman RSI Site H&S Supervisor
* indicates meeting organizer Meeting Minutes: During the meeting, the following was discussed: 1. Health and Safety (H&S) (J. Weikart)
a. Safety Moment – J. Weikart discussed general fall protection safety policies. b. Project Safety Summary
J. Weikart discussed housekeeping as it relates to GETR-BA1-01; RSI continues to address general site organization as necessary.
Task Safety Observation (TSO) participation has been satisfactory, participation has increased over the past two weeks with 23 TSOs submitted since the last meeting.
J. Weikart summarized the recent property damage involving damage to an EPM water level indicator. J. Weikart discussed root cause, corrective measures, and schedule for replacing the damaged equipment.
2. Radiation Protection monitoring (D. Kaylor)
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Meeting Notes (cont’d)
a. A large piece of concrete uncovered during GWI-UP1 overburden material excavation indicated radioactivity above background. D. Kaylor summarized the procedures implemented, including the stand-down, corrective measures, and re-start of work. The concrete is currently covered with plastic and marked with safety fence.
b. Scanning of subsurface and disturbed soils will continue throughout the project. c. Equipment in contact with soils has been scanned prior to mobilizing out of the
area (eg, before mobilizing from BA1 to UP2). d. Equipment has been scanned for release surveys prior to being demobilized from
the project. e. A designated area has been established for staging and management of potentially
impacted soils removed from GWI-UP1-01. Radioactive materials signs were used to clearly designate the area. Scanning of personnel and equipment entering this area is ongoing. No radiation activity has been observed above background.
f. Dust control measures by RSI to minimize inhalation have been adequate.
3. Construction Progress Updates (J. Gillman/D. Cox) a. Activities completed since last meeting include:
GWI-UP2-01 excavation and backfill have been completed. This includes installation of monitor and injection wells.
1. Topsoil installation and well completions remain to be completed. Breaking of slurry used for GETR-BA1-01 excavation stabilization has
been completed; broken slurry was disposed of at the dry detention basin in accordance with the project specifications.
UP1 Sandstone A excavation has begun. 1. As stated above, potentially impacted material is being segregated.
Additional erosion control measures have been installed around this area.
Jeff Binder was onsite Monday (11-13-17) to begin extraction trench step testing activities.
Cascade began installing monitor wells in the BA1 area on Monday (11-13-17).
b. Activities planned for the next week OG&E was onsite 11-8-17 to remove overhead power lines in UP1. RSI will continue excavation activities at GWI-UP1. RSI projects
excavation to be completed by 11-22-17, including backfill of gravel. Cascade will continue to install monitor wells through the weekend,
projecting to complete by 11-22-17.
4. Quality Assurance (J. Weikart)
11/15/2017 Page 3
Meeting Notes (cont’d)
a. Submittals Schedule Burns & McDonnell has approved all submittals provided by RSI. There
are no outstanding submittals at this time. b. Storm Water Pollution Prevention Plan (SWPPP) inspections
No SWPPP deficiencies have been observed since the last progress meeting.
c. Confirmation of materials UP2 monitor, injection, and extraction trench materials and installations
were approved in accordance with the contract documents. d. Miscellaneous
Compaction testing results for GWI-UP2-01 native material backfill lifts indicated conformance with the contract documents.
5. Cost/Budget Control (E. Dulle) a. Costs to date are in line with the baseline budget. b. RSI will submit a proposal to Burns & McDonnell for abandonment of 14
monitor wells located in the CDW area. c. Burns & McDonnell approved RSI to proceed with clearing of the drainage
channel per their proposal. d. Out-of-scope activities include the use of a rock hammer to aid in sandstone
excavation. Rock hammer usage will be tracked by RSI on an hourly basis. Payment
will be made based on actual hourly usage. The rock hammer has not been used since GWI-BA1-01.
6. Site Use (J. Weikart)
a. J. Weikart noted that Stewart Industries has cleared the area around the CDW wells.
7. Open Discussion (All) a. RSI will not be conducting excavation activities this weekend (11/18 and 11/19);
however, Cascade will continue with monitor well installation. b. The NRC site visit will take place on Monday (11-20-17). E. Dulle and Logan
Graybill will be onsite for the visit.
cc: B. Halliburton
Meeting Notes
Meeting Subject: CERT Pilot Study Bi-Weekly Progress Meeting Meeting Date: 12/06/2017 Start Time: 10:00 AM End Time: 11:00 AM Location: Site Office (100 N. Hwy 74, Guthrie, OK) and Conference Call
Call-In: 1-866-429-9395 Conference Code: 5134905331 Project Name: CERT-Pilot Study Project No.: 96785 Attendee Organization TitleEric Dulle* Burns & McDonnell
Engineering Company, Inc. (Burns & McDonnell)
Project Engineer
Chuck Beatty Enercon Radiation Protection Supervisor
Jody Weikart Burns & McDonnell Site Manager Jeff Lux Environmental Properties
Management (EPM)Project Manager
Dane Kaylor Enercon Radiation Protection MonitorJohn Gillman RSI Project Manager Johnny Gillman RSI Site H&S Supervisor
* indicates meeting organizer Meeting Minutes: During the meeting, the following was discussed: 1. Health and Safety (H&S) (J. Weikart)
a. Safety Moment – J. Weikart discussed the need to maintain focus over the next few weeks as the project comes to an end.
b. Project Safety Summary Task Safety Observation (TSO) participation has been satisfactory,
participation has increased over the past two weeks with 26 TSOs submitted since the last meeting.
J. Weikart issued a reminder that all visitors and personnel do not drive into work areas as topsoil is being placed.
2. Radiation Protection monitoring (D. Kaylor) a. The large piece of concrete uncovered during GWI-UP1 potentially impacted
material excavation, which indicated radioactivity above background, has been
12/06/2017 Page 2
Meeting Notes (cont’d)
relocated to the area of the proposed future treatment system. The concrete is currently covered with plastic and marked with signage.
b. Scanning of subsurface and disturbed soils will continue throughout the project. c. Equipment scans for release surveys continue. d. Dust control measures by RSI to minimize inhalation have been adequate.
3. Construction Progress Updates (J. Gillman)
a. Activities completed since last meeting include: GWI-UP1-01 and 02 excavation and backfill have been completed. This
includes installation of monitor and injection wells. Jeff Binder completed extraction trench step testing activities. Cascade completed installation of monitor wells. RSI has completed installation of surface completions and injection well
laterals. RSI completed out of scope activities including abandonment of the CDW
monitor wells and clearing of the drainage area. b. Activities planned for the next week
RSI will complete backfilling of topsoil and apply seed. RSI will begin demobilization equipment, as necessary. RSI will complete the out of scope activity BA1 road installation. RSI will repair damaged BA monitor well. Burns & McDonnell will begin injection testing activities.
4. Quality Assurance (J. Weikart)
a. Submittals Schedule Burns & McDonnell has approved all submittals provided by RSI. There
are no outstanding submittals at this time. b. Storm Water Pollution Prevention Plan (SWPPP) inspections
No SWPPP deficiencies have been observed since the last progress meeting.
c. Confirmation of materials UP1 monitor and injection well materials and installations were approved
in accordance with the contract documents. d. Miscellaneous
Compaction testing results for GWI-UP1-01/02 native material backfill lifts indicated conformance with the contract documents.
5. Cost/Budget Control (E. Dulle) a. Costs to date are in line with the baseline budget.
12/06/2017 Page 3
Meeting Notes (cont’d)
b. Out-of-scope activities have generally been offset by savings on other line items. 6. Site Use (J. Weikart)
7. Open Discussion (All)
a. RSI will not be onsite this weekend (12/09 and 12/10).
cc: B. Halliburton
APPENDIX P – SWPPP INSPECTION REPORTS
-' I
-Groundwater Remediation Project Stormwater Pollution Prevention Plan
Inspection and Maintenance Report Form
Instructions: Each authorized inspector(s), as documented in the Stormwater Pollution Prevention Plan (SWP3), must complete this report as defined in the SWP3. If changes are required to the SWP3 complete the "Required Changes to SWP3" section in the inspection form. Attach additional paper if needed. Do not leave answers unanswered; use "N/A" if necessary. PLEASE REMEMBER TO UPDATE THE SITE MAP ACCORDING TO SITE CHANGES!
Inspector: 0 CClu f,.,,')0inetC-t I
Date of Inspection : __ q~/,_.;)_8_,_/_1_7-'---------- - -Date of Last Rainfall: 9 /.;J. 7 / l 7
I
Amount of Last Rainfall: 3 .O 11 _ ___o,:........;::;__ __________ _
Any sediment or other pollutant discharges since last inspection? Oves 8 No If yes, location:
Describe present phase of construction:
FREQUENCY OF SITE INSPECTIONS:
~ Once every 14 calenda r days and within 24 hours of storm event of 0.5 inches or greater
D Once every month due to temporary or permanent stabilization
DID THE FREQUENCY OF SITE INSPECTIONS CHANGE? (Note: Frequency can only be changed at the beginning of each
month. The same frequency must be used for an entire month before changing it again.)
Oves ENo
If yes, please complete the following:
Date change made:
Approximate end date of change: (If date unknown, mark "TBD")
SITE SPECIFIC BMPS
BMP Description BMP Installed
Corrective Action Date for Corrective Action/Responsible BMP Location and Operating
(e.g. silt fence) Properly
Needed Person/Additional Notes
~.\t ~(l' ~~-c-(')w 'I",\ ,,;c_e ® ves 0No !VO ~ , \ .\- ~0("\ce 6~~-~\-D\ 5a°Yes 0No !Lh
<z, \\ ¥2 rY€ s;,qx_ \Qr,~ :",V.0\'('Q i;2j Yes 0No Ah
" ' \\-- s::n .,.,,,.. a ~<2'..£...~eol ~ @(~ ,C"\.G,, 0.. , [Qves 0No ....{ )r... ~ '--'
Oves 0No
Oves 0No
Oves 0No
Oves 0No
Oves 0No
Oves 0No
Oves 0No
Oves 0No
Oves 0No
Oklahoma Site Inspection Form 1
SITE ISSUES
icleb•1 are general site issues that should be assessed during each inspection. If a BMP/Activity is not applicable, place a
• ,/A• in the Corrective Action section.
·- ''
BMP/Activity Implemented?
Are all slopes and disturbed
areas not actively being ~Yes
worked properly stabilized?
Are natural resource areas
(e.g., streams, wetlands, etc.) @ Yes
protected with barriers or
similar BMPs?
Are perimeter controls and
sediment barriers adequately ~Yes
installed and maintained?
Is there evidence of sediment 0Yes
being tracked into the street?
Are materials that are potential
stormwater contaminants ~Yes
stored inside or under cover?
Is there evidence of pollutants
leaving the site at discharge Oves
locations?
(Other) Oves
ARE ADDITIONAL BMPS NEEDED?
D Yes [S47No
0No
0No
0No
b4No
0No
Q1 No
0 No
If yes, please complete the following table:
BMP Description
NOTES AND COMMENTS:
Oklahoma Site Inspection Form
- - -· Date for Corrective
Maintained? Corrective Action Action/~
Person/AdditionaliNotes
Qkes 0No
[:?Yes 0No
M}Yes 0No
QYes 0,No
[Aves 0No
QfYes 0 No
Oves 0No
BMP Location _ Date BMP Installed
2
~
L
REQUIRED CHANGES TO SWP3:
Changes Required to the Stormwater Pollution Prevention Plan: .!..A--"d""'.:s::c\ec\_:....:. """'--"----==~::..:\.....:.\-l-=-_\;.-->-=<l.....:.CCtl---""'"--------'~=---S~:;>xQ 6-,0J...~:<:fj Reasons for Change: S , \\- '.'ie'C)(tZ , ("\s~o..\~c\ Changes to be Performed By: :Yeo-'-( L. (.;)e1~
,o cs(Z(',...2, "°" o, e,NJ,_\.\.'/ dczv,c\ec·I. O<\. C\ C-C'-<..L~"'9-
0 n or Before: _Cf-'-'/,_,,,J.=?-f+-'-t 7-+-- - - - ---
CERTIFICATION STATEMENT:
"I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons di rectly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting fa lse information, including the possibility of fine and
imprisonment for knowing violations."
Inspector: Once inspect ion is completed, review inspection report with SWP3 Coordinator and address any issues discovered during the inspection. Please print and sign the report below.
SWP3 Coordinator: Review inspection report wit h the Inspector. Address their concerns and complete the "Date for Corrective Action/Responsible Person/Additional Comments" column. Once completed, sign below and send to
Environmental Services.
If the SWP3 Coordinator conducts the inspection, write "N/A" for the Inspector Signature.
Inspector Signature: * Please pri nt & sign
AJk
Oklahoma Site Inspection Form
Date: --------
Date: q/';)ca )17
3
= I
Groundwater Remediation Project Stormwater Pollution Prevention Plan
Inspection and Maintenance Report Form
Instructions: Each authorized inspector(s), as documented in the Stormwater Pollution Prevention Plan (SWP3), must complete this report as defined in the SWP3. If changes are required to the SWP3 complete the "Required Changes to SWP3" section in the inspection form. Attach additional paper if needed. Do not leave answers unanswered; use "N/A" if necessary. PLEASE REMEMBER TO UPDATE THE SITE MAP ACCORDING TO SITE CHANGES!
Inspector: Jcrly l;):z~~-\-- Date of Inspection: ~~lo=+-/~~~)_i _7 _ _ ________ ~ Date of Last Rainfall : _I _o.,_f...,_'-l+/_1_],__ _____ _ Amount of Last Rainfall: S 11
------'-----------If yes,
Any sediment or other pollutant discharges since last inspection? ~Yes D No location: ~\- 'S~CT· ( ~~ 1.- \Y>,-\ - C:,\
Describe present phase of construct ion:
FREQUENCY OF SITE INSPECTIONS:
[gj Once every 14 calendar days and within 24 hours of storm event of 0.5 inches or greater
D Once every month due to temporary or permanent stabilization
DID THE FREQUENCY OF SITE INSPECTIONS CHANGE? (Note: Frequency can only be changed at the beginning of each
month. The same frequency must be used for an entire month before changing it again.)
Oves ~ No
If yes, please complete the following:
Date change made:
Approximate end date of change: (If date unknown, mark "TBD")
SITE SPECIFIC BMPS
,_ BMP Installed
BMP Description BMPLocatiqp and Operating
Corrective Action Date for Corrective Action/Responsible (e.~. silt fenc:e)
Properly Needed Person/ Additionaf Not~s
~,\ \- <:;.__r;.{,ro boc-n::, ·" ~ .~12 ~Yes 0No ,{ :0
'5 ' \\ V>('(e-.\) . qy\d. 0~ 6 ~'\\<.-
l,::i.. !,, \ ' 1K] Yes 0No 'l.e "<.. S,\\ Vr)O? C':'e'J"\ N°k -~ (bx:
<...\ ~ r.CIZ P, arct.~ .V.:r. 'h ~,e,C. IS2f,ves 0No Y~s ~"w GZO..~ -S':rh. ·C r'c,·L '-'
<;, \\- C.o"'r/' -0. ~NI. cJ.2 "5~,~ et.,~o.._ gives 0No Ye-s '5\a.~<; ,roW'f'r"l -~ <"~
<:.,, \\- <;:'t?'('(f Lfv d--._ ~Yes 0No .AX> · v
Oves 0No
Oves 0No
Oves 0No
Oves 0No
Oves 0No
Oves 0 No
Oves 0No
0Yes 0 No
Oklahoma Site Inspection Form 1
OVERALL SITE ISSUES
Below are general site issues that should be assessed during each inspection. If a BMP/Activity is not applicable, place a
"N/A" in the Corrective Action section .
BMP/ Activity Implemented?
-Are all slopes and disturbed
~es areas not actively being
worked properly stabilized?
Are natural resource areas
(e.g., streams, wetlands, etc.) ~Yes
protected with barriers or
similar BM Ps?
Are perimeter controls and
sediment barriers adequately 0Yes
installed and maintained?
Is there evidence of sediment 0Yes
being tracked into the street?
Are materials that are potential
~Yes stormwater contaminants
stored inside or under cover?
Is there evidence of pollutants
leaving the site at discharge Oves
locations?
(Other) 0 Yes
ARE ADDITIONAL BMPS NEEDED?
0Yes D No
0No
0No
~ No
~No
0No
~o
0 No
If yes, please complete the following table:
BMP Description
S,\l- ~o{\re
NOTES AND COMMENTS:
Oklahoma Site Inspection Form
Date for Corrective
Maintained? £orrective Action Action/Responsible
Person/ Additional Notes
[)}1es 0No
~es 0No
S<l<i. 'y~ \ (A_~ <::sl<?- <i;)W:._:, '\ ().2)
0Yes 't;iPNo szc~ "S<?~C::Y\
[S}Yes 0 No
~es 0No
[lYes 0No
0Yes 0 No
BMP Location Date BMP Installed
G'nc__-\ cP ~A\ l-~~ \r) ho /1 7 '
ne??n
2
---
REQUIRED CHANGES TO SWP3:
Changes Required to the Stormwater Pollution Prevention Plan: ~A._,_,_M,=,-·\_,_,'"'"'()('\=.:...=a=\_,___ 5....._·:-.. ~- - '(l:-'=r{J-=e,.__ _ __ _ Nl <!US :\o \)e 0(\00] <ZOS\ 0~ ::M-\ \,M)CS::, 0--,ctQ.. ReasonsforChange: 3<2(\,~AL C'\\~'(f' o~ - -Sd:,e Changes to be Performed By: ""'S:>c:xq,' Cox On or Before: Jo/to7' 7 'J ~/.,.....__,,~~- ----- ---
CERTIFICATION STATEMENT:
" I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate t he information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalt ies for submitting false information, including the possibility of fine and imprisonment for knowing violations."
Inspector: Once inspection is completed, review inspection report with SWP3 Coordinator and address any issues discovered during the inspection. Please print and sign the report below.
SWP3 Coordinator: Review inspection report with the Inspector. Address their concerns and complete the "Date for Corrective Action/Responsible Person/Additional Comments" column. On ce completed, sign below and send to Environmental Services.
If the SWP3 Coordinator conducts the inspection, write "N/A" for the Inspector Signature.
Inspector Signature: - -~N_,~_'A _____ ___ _ Date: - --- - - --*Please pri nt & sign
SWP3 Coo,d;nato, s;gnatore, ~ J lfM Date: 10/,;jt ,2
Oklahoma Site Inspection Form 3
Groundwater Remediation Project Storm Water Pollut ion Prevention Plan
Corrective Action Report (OKR10 Part 4.5.15.C.1.) (Complete this section within 24 hours of discoverinQ the condition that triaaered corrective action)
Date problem first discovered: ,oi.sJ_; 2 Time discovered: o83CJ Name and contact information of individual completing this form: Ted¥'. L:J?~r+-
I Ce(/ S\~ .l./96. S3'3
Signature of individual completing this form: f-1 J~ What site conditions triggered the requirement to conduct corrective action:
D A required stormwater control was never installed, was installed incorrectly, or not in accordance with the requirements in Parts 3 and/or 4 of the Permit
·1
~ The stormwater controls that have been installed and maintained are not effective enough for the discharge to meet applicable water quality standards or applicable requirements in Part 3.5 of the Permit D One of the prohibited discharges in Part 3.1 and 3.3.3A of the Permit is occurring or has occurred D Monitoring results indicate a discharge exceeding the applicable effluent limitation
Describe the nature of the condition identified, the dote and time it was identified, and how it was identified:
~CS\- ~(\..,~ ~([~ ,0~~·\.1'.0l\ CA S'' ,o..,-f'-S:C\\A. \c~-\-,~W'c\ ~,t+ .;)/Zr,((? I I\ d. C.StLQS
w~~ 'o,o \'-er, s~o..~s ord OC\ CJ..,ea,_ Lu~ 'S2'(i I (Y'(!Jr( {)"CJ\j\~ 0~"':,1'tf' L..:,1-\h (\O ~M.?.s
Deadline for completing corrective action: [Enter date that is either: ( l) no more than 7 calendar days after the date you discovered the problem, or (2) if it is infeasible to complete work within the first 7 days, enter the date that is as soon as practicable following the 7th day.] 10/10 /1 7
If your estimated date of completion falls ofter the 7-day deadline, explain (1) why you believe it is infeasible to complete work within 7 days, and (2) why the date you have established for making the new or modified stormwater control operational is the soonest practicable timeframe:
Corrective Action Progress ( OKR1 O Part 4.5.15.C.2) (Complete this section no later t.han 7 calendar days after discovedno the condition that triooered corrective action)
Why the Problem Occurred
Cause(s) of Problem How This Was Determined and the Date You Determined (insert additional rows if applicable) the Cause 1. [State what you determined to be the cause of the problem] [Specify what you did to come to your conclusion] [Enter
'\-Y?.u\..'Y. ~,(\w\\. (")~ l(" D.Je1 .;). X"'Ou~S date I ()\:)~C'vc...-\-,oA.. 0~ ,0,,0.c\m\ (cl..fl_(\-1... ,
o.rd O..'f\ aocl \ -\-,oco . ..\ \'' O\,'e('" (o roo,~ Offi\tCc ,c_, n._ fi.~f:f- , ere/ ~6~T CTi,"' (c,flflf \ l\'.\~±3, o,C\
10):>/1 7 2. [State what yQu determined to be the cause of the problem] [Specify what you did to come to your conclusion] [Enter
date]
3. [State what you determined to be the cause of the problem] [Specify what you did to come to your conclusion] [Enter date]
Groundwater Remediation Proj ect Storm Water Pollution Prevention Plan
Stormwater Control Modifications to be Implemented to Correct the Problem
List of Stormwater Control Modification(s} Date of SWP3 Update Needed to Correct Problem Completion Necessary? (insert additional rows if aoolicable) 1. [Specific modification to be implemented] 0 Yes k'.)No [if yes,
·~ C-<2~\QD? 'o:"o'f-e(\ S-\o..~S lo/s}7 specify date SWP3 modified)
2. (Specific modification to be implemented] ~Yes 0 No [If yes,
/v0 Gcldi°""oro..\ ~ \ \-\- ~e-nce -01io;, specify date SWP3
-\-o ·~ rK'Ac::A S~C\(? Gs; mod ified]
~\ L..:::0C-n c<L,eo.... 17 I0/10/ I 7 3. [Specific modification to be implemented] 0 Yes 0 No [If yes,
specify date SWP3 modified]
Notes
In accordance w ith Part 4.5.1 5.D of the Permit. you a re require d to keep a current copy of a ll correc tive action reports a t the site or a t an easily accessible location, so that it can be mad e available at the time of an onsite inspection or upon request by DEQ.
I
Groundwater Remediation Project Stormwater Pollution Prevention Plan
Inspection and Maintenance Report Form
Instructions: Each authorized inspector(s), as documented in the Stormwater Pollution Prevention Plan (SWP3), must complete this report as defined in the SWP3. If changes are required to the SWP3 complete the "Required Changes to SWP3" section in the inspection form. Attach additional paper if needed. Do not leave answers unanswered; use "N/A" if necessary. PLEASE REMEMBER TO UPDATE THE SITE MAP ACCORDING TO SITE CHANGES!
Inspector: T a:h1 l 6'{2\ 'toi4 Date of Inspection : IO/ 1 y/,7 Date of Last Rainfall: _ \~0_/~1_L~/ .... /_1_7 _____ _ Amount of Last Rainfall: __ 0_,_,S::: __________ _
Any sediment or other pollutant discharges since last inspection? 0Yes ~o If yes, location:
Describepresentphaseofconstruction: £')(..(D...\.:C,...\.-,C)A ~'<\.. ~~ -\ ~ \)Y~
FREQUENCY OF SITE INSPECTIONS:
;@ Once every 14 calendar days and within 24 hours of storm event of 0.5 inches or greater
D Once every month due to temporary or permanent stabilization
DID THE FREQUENCY OF SITE INSPECTIONS CHANGE? {Note: Frequency can only be changed at the beginning of each
month. The same frequency must be used for an entire month before changing it again.)
0Yes ¢ No
If yes, please complete the following:
Date change made:
Approximate end date of change: {If date unknown, mark "TBD")
SITE SPECIFIC BMPS
BMP Description BMP Installed
Corrective Action Date for Corrective Action/Responsible BMP Location and Operat-ing
(e.g. silt fence) Properly
Needed Person/ Additional Notes
~,\\ ~0(]2" ~}'-\ ~Yes 0No A.)o
S, \ \: ~n~ "a:::i(s()U) "-t'>..X(ll ~Yes 0No /.JO
"S., \~ ~y\(17 ~ \m, <"Qi A-.(i'QS @Yes 0No A..b 'S ~ \\. lli.0CJ2. 0-&~v 5d,Yes 0No A )h
0Yes 0No
0Yes 0No
0Yes 0No
0Yes 0No
0Yes 0No
0Yes 0No
0Yes 0No
0Yes 0No
0Yes 0No
Oklahoma Site Inspection Form 1
O\i'iERAU. SITE ISSUES
3.8,mv are general site issues that should be assessed during each insoecrion.. ff a BMP/Activity is not applicable, place a ' 1 ;. in the Corrective Action section.
P/Activity Implemented?
='"EES not actively being .~ properly stabilized?
~Yes
.!.'"c -zuira l resource areas Ls-, streams, wet lands, et c.) j2'.l Yes
.:.n:r..ected with barriers or s:----;.ar BMPs?
~'E oe.rimeter controls and Sediment barriers adequat ely -'1Stalled and maintained?
_@Yes
Is there evidence of sediment O ves t:Jeing tracked into the street?
Are materia ls that are potent ial srormwater contaminants [SlYes stored inside or under cover?
Is there evidence of pollutants leaving the site at discharge 0 Yes locations? (Other)
0 Yes
ARE ADDITIONAL BMPS NEEDED?
D Yes ISYNo
0No
0 No
0No
~ o
0 No
~ o
0 No
If yes, please complete the fo llowing table:
BMP Description
NOTES AND COMMENTS:
Oklahoma Site Inspection Form
Maintained?
~ es 0 No
@ 1Yes 0 No
~ Yes 0No
Q Yes 0 No
ClJ Yes 0No
[3Jes 0No
0 Yes 0No
BMP Location
Date for Corrective Action/Responsible
Person/ Additional Notes
Date BMP Installed
2
REQUIRED CHANGES TO SWP3:
Changes Required to the Stormwater Pollution Prevention Plan: QCdQc\ ~\"\- Secce \.-o S\.N~ c\sQw.:) ,v-8= Reasons for Change: S,\\ WOO? \ 0$\cl.\q:JI 0.,,-\Changes to be Performed By: -:Y-aiy L.,..)1\'f--Ort-
D~ci. \'(\ ose:gs, co:\ de? ;c"\<cd oo d~" \~ On or Before: lO/,oA7
CERTIFICATION STATEMENT:
" I certify under pena lty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations."
Inspector: Once inspection is completed, review inspection report with SWP3 Coordinator and address any issues discovered during the inspection . Please print and sign the report below.
SWP3 Coordinator: Review inspection report with the Inspector. Address their concerns and complete the "Date for Corrective Action/Responsible Person/Additional Comments" column. Once completed, sign below and send to Environmental Services.
If the SWP3 Coordinator conducts the inspecti on, write "N/A" for the Inspector Signature.
Inspector Signature: * Please print & sign
SWP3 Coordinator Signature:
Oklahoma Site Inspection Form
Date: ~ ~-------
Date:
3
'
Groundwater Remediation Project Stormwater Pollution Prevention Plan
Inspection and Maintenance Report Form
Instructions; Each authorized inspector(s), as documented in the Stormwater Pollution Prevention Plan (SWP3), must complete this report as defined in t he SWP3. If changes are required to the SWP3 complete the "Required Changes to SWP3" section in the inspection form . Attach additional paper if needed. Do not leave answers unanswered; use "N/ A" if necessary. PLEASE REMEMBER TO UPDATE THE SITE MAP ACCORDING TO SITE CHANGES!
'
Inspector: ~cdv L:;e~fQ/t Date of Inspection:
Date of Last Ra infa II: -'-'I o=..-!~=--' .f..-1 _;_\ ....:.? _ ____ _ Amount of Last Rainfall:
Any sediment or other pollutant discharges since last inspection?
l/ It
1. If yes, location:
Describe present phase of construction: ~ )(Ql,\)()...~ Q(\.. C:,'£-~-~ \-6 \
FREQUENCY OF SITE INSPECTIONS:
Jtf Once every 14 calendar days and within 24 hours of storm event of 0.5 inches or greater
D Once every month due to temporary or permanent stabilization'.
DID THE FREQUENCY OF SITE INSPECTIONS CHANGE? (Note: Frequency can only be changed at the beginning of each
month. The same frequency must be used for an entire month before changing it again.)
0 Yes ~ No
If yes, p lease complete t he following:
Date change made: --- ------- --
Approximate end date of change: (If date unknown, mark "TBD") - --- - --- ---
SITE SPECIFIC BMPS
== = ~ BMP Installed BMP Description
BMP Location and Operating Corrective Action Date for Corrective Action/Responsible
(e.g. siltfence) Properly
Needed Person/ Additional Notes -
,..:~ ~Qr\02 ~\ gj,Yes 0No A)o <:?..,\\~e~ \.N ;,_ Ell Yes 0No ,., YI
<;:.,\\~nm' ~, ~Yes 0No AJo -~ \ \-\- Q.o__..-o AJ. fYr ~<oc ..\(l(\ ~ 1:i, EiJ Yes 0No Ak'\ ~,\\ ~nai' N::.B8,,~ _;,,~o.J ~Yes 0No JJo
(./ u 0Yes 0No
0Yes 0No
Oves 0No
0Yes 0No
0Yes 0No
0Yes 0No
0Yes 0No
0Yes 0No
Oklahoma Sit e Inspection Form
OVERALL SITE ISSUES
Below are general site issues that should be assessed during each inspection. If a BM P/Activity is not applicable, place a
"N/A" in the Corrective Action section.
BMP / Activity Implemented?
Are all slopes and dist urbed
areas not actively being 0 Yes 0 No
worked properly stabilized? I
Are natural resource areas
(e.g., st reams, wetlands, etc.) f/J Yes 0No
protected with barriers or
simi lar BMPs? Are perimeter controls and
~Yes sediment barriers adequately 0No
installed and maintained?
Is t here evidence of sediment 0Yes ~No
being tracked into the st reet?
Are materials that are potential
(/J Yes stormwater contaminants 0No
stored inside or under cover?
Is t here evidence of pollutants
[$10 leaving t he sit e at discharge 0Yes
locations?
(Other) 0Yes 0 No
ARE ADDITIONAL BMPS NEEDED?
D Yes fir No If yes, ple"fs"e complete the following table:
BMP Description
NOTES AND COMMENTS:
Oklahoma Sit e Inspect ion Form
- Date for Corrective I• Maintained? Corrective Action Action/Responsible ,, Person/ Additional Notes
~Yes 0 No
f,l3 Yes 0No
Clf Yes 0 No
4il Yes 0No
~Yes 0 No
rz§ Yes 0No
0Yes 0No
BMP Location Date BMP Installed
2
. .-..,_
REQUIRED CHANGES TO SWP3:
Changes Required to the Stormwater Pollution Prevention Plan: _'V.=:J..~----------------
Reasons for Change:
Changes to be Performed By: On or Before:
CERTIFICATION STATEMENT:
"I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting fal se information, including the possibility of fine and imprisonment for knowing violations."
Inspector: Once inspection is completed, review inspection report with SWP3 Coordinator and address any issues discovered during the inspection. Please print and sign the report below.
SWP3 Coordinator: Review inspection report with the Inspector. Address their concerns and complete the "Date for Corrective Action/Responsible Person/Additional Comments" column. Once completed, sign below and send to
Environmental Services.
If the SWP3 Coordinator conducts the inspection, write "N/ A11 for the Inspector Signature.
Inspector Signature: *Please print & sign
SWP3 Coordinator Signature:
Oklahoma Sit e Inspect ion Form
Date:
Date: /0 /;;d Ii 7 ~ ~ ,
3
. ..-,,..
I
Groundwater Remediation Project Stormwater Pollution Prevention Plan
Inspection and Maintenance Report Form
lnsuuctions.: Each authorized inspector(s), as documented in the Stormwater Pollution Prevention Plan (SWP3), must comp'ete this report as defined in the SWP3. If changes are required to the SWP3 complete the "Required Changes to SWP3" section in the inspection form. Attach additiona l paper if needed. Do not leave answers unanswered; use "N/A" if necessary. PLEASE REMEMBER TO UPDATE THE SITE MAP ACCORDING TO SITE CHANGES!
Inspector: Date of Inspection :
Date of Last Rainfall: -'l'-'0'-'6...,~:.....::..~ ..... /_,_7J__ _____ _ Amount of Last Rainfall:
Any sediment or other pollutant discharges since last inspection? 0 Yes [l(No Describe present phase of construction:
FREQUENCY OF SITE INSPECTIONS:
If yes, location:
~ Once every 14 calendar days and with in 24 hours of storm event of 0.5 inches or greate r
0 Once every month due to t emporary or permanent stabilization
DID THE FREQUENCY OF SITE INSPECTIONS CHANGE? (Note: Frequency can only be changed at the beginning of each
month. The same frequency must be used for an entire month before changing it again.)
0Yes ~o
If yes, please complete the following:
Date change made:
Approximate end date of change: (If date unknown, mark "TBD")
SITE SPECIFIC BMPS
BMP Description BMP Installed
Corrective Action Date for Corrective Action/Responsible BMP Location and Operating
(e.g. sUtfence) , Properly
Needed Person/ Additional Notes
'5~\t" 5;. '"" ~\ [2f'Yes 0No A)o ~-\+. C"'- --, .....-i:r, v ·v l)'\) d. &Pres 0No Do ,"\{ \ +:- ~(n'"'('t2 l)°v \ ~Yes 0No ,V(')
0Yes 0No
0Yes QNo
0Yes 0 No
0Yes 0 No
0Yes 0No
0Yes 0No
0Yes 0No
0Yes 0No
0Yes 0No
Oves 0No
Oklahoma Site Inspection Form 1
OVERALL SITE ISSUES
Below are general site issues that should be assessed during each inspection. If a BMP/Activity is not applicable, place a "N/A" in the Corrective Action section.
BMP/ActMty rmplemented?
Are all slopes and dist urbed ~Yes areas not actively being
worked properly stabilized? Are natural resource areas (e.g., st reams, wetlands, etc.)
$Yes prot ected with barriers or similar BM Ps? Are perimeter controls and I ~Yes sediment barriers adequately installed and maintained? I Is there evidence of sediment I Oves being tracked into the street?
Are materials that are potential ~Yes stormwater contaminants
stored inside or under cover? Is there evidence of pollutant s leaving the site at discharge 0Yes locations? {Other)
0Yes
ARE ADDITIONAL BMPS NEEDED?
D Yes f2f' No
0 No
0No
0No
~o
0No
~o
0No
If yes, please complete the foll owing t able:
BMP Description
NOTES AND COMMENTS:
Oklahoma Site Inspection Form
Date for Corrective Maintained? Corrective Action Action/Responsible
Person/ Additional Notes
~ Yes 0 No A}A
~es 0No JJA ~es 0 No NA ~Yes 0 No AJ/A
~Yes 0No AJ/A
~es 0 No JJA 0Yes 0 No
BMP Lo~ation Date BMP Installed
.
2
-
REQUIRED CHANGES TO SWP3:
Changes Required to the Stormwater Pollution Prevention Plan:
Reasons for Change:
Changes to be Performed By: On or Before:
CERTIFICATION STATEMENT:
"I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsib le for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations."
Inspector: Once inspection is completed, review inspection report with SWP3 Coordinator and address any issues discovered
during the inspection. Please print and sign the report below.
SWP3 Coordinator: Review inspection report with the Inspector. Address their concerns and complete the "Date for Corrective Action/Responsible Person/Additional Comments" column. Once completed, sign below and send to
Environmental Services.
If the SWP3 Coordinator conducts the inspection, write "N/ A" for the Inspector Signature.
Inspector Signature: *Please print & sign
SWP3 Coordinator Signature:
Oklahoma Site Inspection Form
Date: ---------
Date: ____._._II '-"/ 3eL.J./-'--I _J._7 __
3
,,.......
I
Groundwater Remediation Project Stormwater Pollution Prevention Plan
Inspection and Maintenance Report Form
Instructions: Each authorized inspector(s), as documented in the Stormwater Pollution Prevention Plan (SWP3), must complete this report as defined in the SWP3. If changes are required to the SWP3 complete the "Required Changes to SWP3" section in the inspection form. Attach additional paper if needed. Do not leave answers unanswered; use "N/A" if necessary. PLEASE REMEMBER TO UPDATE THE SITE MAP ACCORDING TO SITE CHANGES!
Inspector: 4.biy L b)a\;(>.({
Date of Last Rainfall: l l / 3/, 7 Date of Inspection:
Any sediment or other pol lutant discharges since last inspection?
Amount of Last Rainfall:
Oves ~o
Describe present phase of construction:
FREQUENCY OF SITE INSPECTIONS:
, 's // Q,_ If yes, location:
~ Once every 14 calendar days and within 24 hours of storm event of 0.5 inches or greater
D Once every month due to temporary or permanent stabilization
DID THE FREQUENCY OF SITE INSPECTIONS CHANGE? (Note: Frequency can only be changed at the beginning of each
month. The same frequency must be used for an entire month before changing it again.)
Oves '¢No
If yes, please complete the following:
Date change made: - - ------- ---
Approximate end date of change: {If date unknown, mark "TBD")
SITE SPECIFIC BMPS
BMP Description BMP Installed
Corrective Action Date for Corrective Action/Responsible BMP Location and QperatinJ
(e.g. silt fence) ' Needed Person/ Additional Notes Properly
~:\.\:; ~- --....,.r ·rv 1T/' ITT>\ "@ves 0No AJo S.:.\t- ~ra U? r''.,. ~..:,·, ~Yes 0No /JO
~'~ ~(\az M-\ [)g:Yes 0No Nn 5' \.t-~ N'"'t? LJV,J- [¥Yes 0No ,Vo
Oves 0No
Oves 0No
Oves 0No
Oves 0No
Dves 0No
Oves 0No
Oves 0No
Oves 0No
Oves 0No
Oklahoma Site Inspection Form 1
OVERAUSITT ISSUES
Below are general sit e issues that should be assessed during each inspection. If a BMP/Activity is not applicable, place a
"N/A" in the Corrective Action section.
BMP/ Activity 1~1
' C
Are all slopes and disturbed ¥ Yes areas not actively being QNo
worked properly stabil ized?
Are natural resource areas
(e.g., streams, wetlands, etc.) I ~ Yes 0No protected with barriers or
similar BMPs? . Are perimeter controls and I ~ Yes sediment barriers adequately 0No
installed and maintained?
Is there evidence of sediment C]Yes ~o
being tracked into the street?
Are materials that are potential
~Yes stormwater contaminants 0No
stored inside or under cover?
Is there evidence of pollutants @No leaving t he site at discharge 0Yes
locations?
(Other) 0Yes 0No
ARE ADDITIONAL BMPS NEEDED?
0Yes ~o If yes, please complete the fol lowing table:
BMP Description
NOTES AND COMMENTS:
Oklahoma Site Inspection Form
Date for Corrective
Maintained? Correcth(e Action Action/Responsible
Person/Additional Notes
-,zrYes 0No
f{:J Yes 0No
t$.Yes 0No
~Yes 0No
~Yes 0No
r,., Yes 0No
0Yes 0No
BMP Location Date BMP Installed
2
I '
REQUIRED CHANGES TO SWP3:
Changes Required to the Stormwater Pollution Prevention Plan: --=A)_,,,,'-'O..._ _______________ _
Reasons for Change:
Changes to be Performed By: On or Before:
CERTIFICATION STATEMENT:
"I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and
imprisonment for knowing violations."
Inspector: Once inspection is completed, review inspection report with SWP3 Coordinator and address any issues discovered
during t he inspection. Please print and sign the report below.
SWP3 Coordinator: Review inspection report with the Inspector. Address their concerns and complete the "Date for Corrective Action/Responsible Person/Additional Comments" column. Once completed, sign below and send to
Environmental Services.
If the SWP3 Coordinator conducts the inspection, write "N/A" for the Inspector Signature.
Inspector Signature: *Please print & sign
SWP3 Coordinator Signature:
Oklahoma Site Inspection Form
Date:
Date:
3
.-
I
Groundwater Remediation Project Stormwater Pollution Prevention Plan
Inspection and Maintenance Report Form
Instructions: Each authorized inspector(s), as documented in the Stormwater Pollution Prevention Plan (SWP3), must complete this report as defined in the SWP3. If changes are required to the SWP3 complete the "Required Changes to SWP3" section in the inspection form. Attach additional paper if needed. Do not leave answers unanswered; use "N/ A". if necessary. PLEASE REMEMBER TO UPDATE THE SITE MAP ACCORDING TO SITE CHANGES!
Inspector: ::Joel'/ ~ifu,! Date of Inspection: "'~\) Date of Last Rainfall: -'~'-/a~B .... /~'-2~------ Amount of Last Rainfall: Q.80 11
Any sediment or other pollutant discharges since last inspection? 0Yes ~o If yes, location:
Describe present phase of construction: ~--=-,=,.,~X:-;"-----'--g----'-'~'-'\._,\,_,,....:.1J---=:,,1,-_ ______________ _____ _
FREQUENCY OF SITE INSPECTIONS:
"f;lJ Once every 14 calendar days and within 24 hours of storm event of 0.5 inches or greater
0 Once every month due to temporary or permanent stabilization
DID THE FREQUENCY OF SITE INSPECTIONS CHANGE? (Note: Frequency can only be changed at the beginning of each
month. The same frequency must be used for an entire month before changing it again.)
0Yes ~No
If yes, please complete the following:
Date change made:
Approximate end date of change: {If date unknown, mark "TBD")
SITE SPECIFIC BMPS
BMP Description BMP Installed
Corrective Action Date for Corrective Action/Responsible BMP Location and O.p~rating
(e.g; silt fence) Needed Person/ Additional' Notes - Properly
"S, \t ~(2'(\07 ~A\ ~Yes 0No .A. '""
's. ~ \-b ~()(J2 ~, MYes 0No A.Jri
~' \j.... ~li"-nl' n UV-:;t @Yes 0No A.JO 0Yes 0No
0Yes 0No
0Yes 0No
0Yes 0No
0Yes 0No
0Yes 0No
0Yes 0No
0Yes 0No
0Yes 0No
0Yes 0No
Oklahoma Site Inspection Form 1
OVERALL SITE ISSUES
Below are general site issues that sh ould be assessed during_ each inspection. If a BMP/Activity is not applicable, place a "N/ A" in t he Corrective Action section.
Date for Corrective
BMP/Activity Implemented? Maintained? Corrective Action Action/Responsitile Person/Additional Notes
Are all slopes and disturbed ~Yes areas not actively being 0No
worked properly stabilized?
Are natural resource areas (e.g., streams, wetlands, etc.)
-&1Yes 0No protected with barriers or simi lar BMPs?
Are perimeter contro ls and
-w'Yes sediment barriers adequately 0 No installed and maintained?
Is there evidence of sediment Oves ~o being tracked into the street?
Are materials th at are potential stormwater contaminants ~Yes 0No stored inside or under cover?
Is there eviden ce of pollutants leaving the site at discharge 0Yes ~No locations? (Other)
Oves 0No
ARE ADDITIONAL BMPS NEEDED?
0Yes ~ No If yes, please complete the foll owing table:
BMP Description
NOTES AND COMMENTS:
Oklahoma Site Inspection Form
~Yes 0No
~Yes 0No
ciYes 0No
~es 0No
~Yes 0No
~es 0No
0Yes 0No
BMP Location· Date BMP Installed
2
REQUIRED CHANGES TO SWP3:
Changes Reqc.1 reo 1:0 ~ne Stormwater Pollution Prevention Plan: ~N~~o_re _____________ ___ _
Reasons ~or Otange:
Changes to be Performed By: On or Before:
CERTIFICATION STATEMENT:
"I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations."
Inspector: Once inspection is completed, review inspection report with SWP3 Coordinator and address any issues discovered during the inspection. Please print and sign the report below.
SWP3 Coordinator: Review inspection report with the Inspector. Address their concerns and complete t he "Date for Corrective Action/Responsible Person/Additional Comments" column. Once completed, sign below and send to Environmental Services.
If the SWP3 Coordinator conducts the inspection, write "N/ A" for the Inspector Signature.
Inspector Signature: *Please print & sign
SWP3 Coordinator Signature:
Oklahoma Site Inspection Form
Date:
Date:
3
I
Groundwater Remediation Project Stonnwater Pollution Prevention Plan
Inspection and Maintenance Report Form
Instructions: Each authorized inspector(s), as d~"'tlmented in the Stormwater Pollution Prevention Plan (SWP3), must complete this report as defined in the SWP3. If changes are required to the SWP3 complete the "Required Changes to SWP3" section in the inspection form. Attach additional paper if needed. Do not leave answers unanswered; use "N/ A" if necessary. PLEASE REMEMBER TO UPDATE THE SITE MAP ACCORDING TO SITE CHANGES!
Inspector: :::J~h-( t,.::Yl,'f-o_, t Date of Inspection:
Date of Last Rainfall: \\/aq/ l 7 Amount of Last Rainfall :
Any sediment or other pollutant discharges since last inspection? D Yes liNo Describe present phase of construction:
FREQUENCY OF SITE INSPECTIONS:
0 _,,
-~ If yes, location:
ff) Once every 14 calendar days and within 24 hours of storm event of 0.5 inches or greater
D Once every month due to temporary or permanent stabilization
DID THE FREQUENCY OF SITE INSPECTIONS CHANGE? (Note: Frequency can only be changed at the beginning of each
month. The same frequency must be used for an entire month before changing it again.)
D Yes 'li'No If yes, please complete the following:
Date change made:
Approximate end date of change: (ff date unknown, mark ''TBD") -----------
SITE SPECIFIC BMPS
BMP Description BMP Installed
Corrective Action Date for Corrective Action/Responsible BMP Location and Operating
(e.g. silt fence) Properly
Needed Person/ Additional Notes
~. \-b ~czn© ~A..\ fig Yes 0No A)o
S\\t ~(\ar, ~~ 129 Yes 0No AJo S,\b S'.:<?n~ UV\ [Zf'Yes 0No No ~' \t ~l7nm - \;}.t,C, ~Yes 0No A),-.,
0Yes 0No
0Yes 0No
0Yes 0No
0Yes 0No
0Yes 0No
0Yes 0No
0Yes 0No
0Yes 0No
0Yes 0No
Oklahoma Sit e Inspection Form 1
OVERAll SITE ISSUES
Below are general SI;;:£ ss...es ma':. s.-n:::: :: be zsso:a: ~ ~ tf a BMP/Activity is not applicable, place a " N/A" in the Corremi.eAction section..
BMP
Are all slopes a-:: ::IIStllrbed areas not acm-e.. oeing worked prope- • stabilized? Are natura cSOurce areas (e.g., strea:.s, wetlands, etc.) protecteG ~ barriers or similar R' Ps? Are perimeter controls and sed'""lent barriers adequately insra Jed and maintained?
is m ere evidence of sediment being tracked into the street?
~ es
OO·es t
~Yes
Oves
Q No
QNo
~· I Are materials that are potentia l stormwater contaminants stored inside or under cover?
~ es D o
Is there evidence of pollutants leaving the site at discharge locations? (Other)
u·es ~o
Oves D No
AREADDfTIONAL BMPS NEEDED?
Ores ~ No If yes, p ease complete the following table:
~:~ --·::BMP Descii~_:-. -'-
NOTES AND COMMENTS:
Oklahoma Site Inspection Form
fit·es 0 No
~es 0No
~es ro
~es 0No
~es 0No
f;ifves O No
Oves O No
BMP Location Date BMP Installed
2
REQUIRED CHANGES TO SWP3:
Changes Required to the Stormwater Po h.!ticn Prevention Plan:
Reasons for Change:
Changes to be Performed By: On or Before:
CERTIFICATION STATEMENT:
· 1 certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submit ted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations."
Inspector: Once inspection is completed, review inspection report with SWP3 Coordinator and address any issues discovered during the inspection. Please print and sign the report below.
SWP3 Coordinator: Review inspection report with the Inspector. Address their concerns and complete the "Date for Corrective Action/Responsible Person/Additional Comments" column. Once completed, sign below and send to Environmental Services.
If the SWP3 Coordinator condu cts the inspection, write "N/A" for the Inspector Signature.
Inspector Signature: *Please print & sign
SWP3 Coordinator Signature:
Oklahoma Site Inspection Form
Date:
3
Groundwater Remediation Project Stormwater Pollution Prevention Plan
Inspection and Maintenance Report Form
Instructions: Each authorized inspector(s), as documented in the Stormwater Pollution Prevention Plan (SWP3), must complete this report as defined in the SWP3. If changes are required to the SWP3 complete the "Required Changes to SWP3" section in the inspection form. Attach additional paper if needed. Do not leave answers unanswered; use "N/A" if necessary. PLEASE REMEMBER TO UPDATE THE SITE MAP ACCORDING TO SITE CHANGES!
Inspector: :S-eff L v,<
(>,~''} . Date of Inspection: JeJ./;;.7/;;.o / 7
Amount of Last Rainfall: o. C It' Date of Last Rainfall: /1['2-'1/;).o/ 7 --------------
Any sediment or other pollutant discharges since last inspection?
Describe present phase of construction:
FREQUENCY OF SITE INSPECTIONS:
0Yes ~No If yes, location:
~ Once every J.4 calendar days and within 24 hours of storm event of 0.5 inches or greater
D Once every month due to temporary or permanent stabilization
DID THE FREQUENCY OF SITE INSPECTIONS CHANGE? {Note: Frequency can only be changed at the beginning of each
month. The same frequency must be used for an entire month before changing it again.)
D Yes 12§1 No
If yes, please complete the following:
Date change made:
Approximate end date of change: {If date unknown, mark ''TBD")
SITE SPECIFIC BMPS
~,L:r FeNc..1:: f>A e'-e, '6Ai 5g.Yes
s i--rFeµc.tE Uf 1. ~Yes
uf' a ~Yes
I ;to(., ~Yes
t d'--0 ~ ~Yes 0No
0Yes 0No
0Yes 0No
0Yes 0No
0Yes 0No
0Yes 0No
0Yes 0No
0Yes 0No
Oklahoma Site Inspection Form 1
OVERALL SITE ISSUES
Below are general site issues that should be assessed during each inspection. If a BMP/Activity is not applicable, place a
"N/A" in the Corrective Action section.
Are all slopes and disturbed areas not actively being Oves worked properly stabilized? Are natural resource areas (e.g., streams, wetlands, etc.)
Oves protected with barriers or similar BMPs? Are perimeter controls and sediment barriers adequately Oves installed and maintained?
Is there evidence of sediment Oves
being tracked into the street?
Are materials that are potential stormwater contaminants Oves stored inside or under cover?
Is there evidence of pollutants leaving the site at discharge Oves locations? (Other)
Oves
ARE ADDITIONAL BMPS NEEDED?
Oves D No
0No
0No
0No
0No
0No
0No
0No
If yes, please complete the following table:
NOTES AND COMMENTS:
Oklahoma Site Inspection Form
Oves 0No
Oves 0No
Oves 0No
Oves 0No
Oves 0No
Oves 0No
Oves 0No ~
2
12/27/17\ ....... /
I
REQUIRED CHANGES TO SWP3:
Changes Required to the Stormwater Pollution Prevention Plan: /v o.,vC -....<.....----------------
Reasons for Change:
Changes to be Performed By: On or Before:
CERTIFICATION STATEMENT:
"I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that qualified personnel properly gather and evaluate the information
submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for
gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and
imprisonment for knowing violations."
Inspector: Once inspection is completed, review inspection report with SWP3 Coordinator and address any issues discovered
during the inspection. Please print and sign the report below.
SWP3 Coordinator: Review inspection report with the Inspector. Address their concerns and complete the "Date for
Corrective Action/Responsible Person/Additional Comments" column. Once completed, sign below and send to
Environmental Services.
If the SWP3 Coordinator conducts the inspection, write "N/ A" for Jhe Inspector Signature .
.::re-FF lv~ Date, li>/~U8VJ7 /,
,LL:/12kc Inspector Signature:
*Please print & sign
SWP3 Coordinator Signature: Date:
Oklahoma Site Inspection Form 3
··~
'
I Groundwater Remediation Project Stormwater Pollution Prevention Plan
Inspection and Maintenance Report Form
Instructions: Each authorized inspector(s), as documented in the Stormwater Pollution Prevention Plan (SWP3), must complete this report as defined in the SWP3. If changes are required to the SWP3 complete the "Required Changes to SWP3" section in the inspection form. Attach additional paper if needed. Do not leave answers unanswered; use "N/A" if necessary. PLEASE REMEMBER TO UPDATE THE SITE MAP ACCORDING TO SITE CHANGES!
Inspector: Date of Inspection: 0\ /I(,/ ZO '8 Date of Last Rainfall: 0 f / <1'1 / 'Zot8 Amount of Last Rainfall:
Any sediment or other pollutant discharges since last inspection? Dves ~o
Describe present phase of construction: ~ll..v<-T10N Co111r-i.Er£
0.15
If yes, location:
,.
-----------------------------FREQUENCY OF SITE INSPECTIONS:
~ Once every 14 calendar days and within 24 hours of storm event of 0.5 inches or greater
D Once every month due to temporary or permanent stabilization
DID THE FREQUENCY OF SITE INSPECTIONS CHANGE? (Note: Frequency can only be changed at the beginning of each month. The same frequency must be used for an entire month before changing it again.)
Oves ~o
If yes, please complete the following:
Date change made:
Approximate end date of change: (If date unknown, mark "TBD")
SITE SPECIFIC BMPS
ffN(.., 0No
s,cr ~r,1,e 0No
~It, tEM,£ 0No
0No
Oves 0No
Oves 0No
Dves 0No
Oves 0No
Oves 0No
Oves 0No
Oves 0No
Oves 0No
Oves 0No
Oklahoma Site Inspection Form 1
OVERALL SITE ISSUES
Below are general site issues that should be assessed during each inspection. If a BMP/Activity is not applicable, place a
"N/A" in the Corrective Action section.
Are all slopes and disturbed
areas not actively being 0Yes
worked properly stabilized?
Are natural resource areas
(e.g., streams, wetlands, etc.) [1 Yes protected with barriers or
similar BMPs? Are perimeter controls and
0Yes sediment barriers adequately installed and maintained?
Is there evidence of sediment 0Yes
being tracked into the street?
Are materials that are potential
stormwater contaminants 0Yes stored inside or under cover?
Is there evidence of pollutants
leaving the site at discharge 0Yes
locations?
(Other) 0Yes
ARE ADDITIONAL BMPS NEEDED?
0Yes E6°'No·
0No
0No
0No
0 No
0No
0No
0No
If yes, please complete the following table:
NOTES AND COMMENTS:
Oklahoma Site Inspection Form
[2]'Yes 0No
0Yes 0No
0Yes 0No
0Yes 0No
[{I' Yes 0No
efves 0No
0Yes 0No \~
I!
2
1/10/18
I I
_,,AUIRED CHANGES TO SWP3:
___ / &anges Required to the Stormwater Pollution Prevention Plan: ,---- --·
- , \
Reasons for Change:
Changes to be Performed By: On or Before:
CERTIFICATION STATEMENT:
"I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that qualified personnel properly gather and evaluate the information
submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for
gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and
imprisonment for knowing violations."
Inspector: Once inspection is completed, review inspection report with SWP3 Coordinator and address any issues discovered
during the inspection. Please print and sign the report below.
SWP3 Coordinator: Review inspection report with the Inspector. Address their concerns and complete the "Date for
Corrective Action/Responsible Person/Additional Comments" cqlumn. Once completed, sign below and send to
Environmental Services.
If the SWP3 Coordinator conducts the inspection, write "N/ A" for the Inspector Signature.
SWP3 Coordinator Signature: Date:
Oklahoma Site Inspection Form 3
I
Groundwater Remediation Project Stormwater Pollution Prevention Plan
Inspection and Maintenance Report Form
Instructions: Each authorized inspector(s), as documented in the Stormwater Pollution Prevention Plan (SWP3), must
complete this report as defined in the SWP3. If changes are required to the SWP3 complete the "Required Changes to SWP3"
section in the inspection form. Attach additional paper if needed. Do not leave answers unanswered; use "N/A" if necessary.
PLEASE REMEMBER TO UPDATE THE SITE MAP ACCORDING TO SITE CHANGES!
Inspector: ~,_)_A_{_~~J __ "ff_v:_~-----Date of Last Rainfall: a I / 13 / 2018
Date of Inspection:
Amount of Last Rainfall:
Any sediment or other pollutant discharges since last inspection? Dves G?'No
0- IS" H
If yes, location:
Describe present phase of construction: _C_o_tJ_s_;TR._11_c._T_IO_:J ___ G~o_M~P~l-~ETE~-,__ _______________ _
FREQUENCY OF SITE INSPECTIONS:
0 Once every 14 calendar days and within 24 hours of storm event of 0.5 inches or greater
D Once every month due to temporary or permanent stabilization
DID THE FREQUENCY OF SITE INSPECTIONS CHANGE? (Note: Frequency can only be changed at the beginning of each
month. The same frequency must be used for an entire month before changing it again.)
Oves ~No
If yes, please complete the following:
Date change made:
Approximate end date of change: (If date unknown, mark "TBD") -----------
SITE SPECIFIC BMPS
- - - - --- - -- ~ ~' ~_1
: ,, ~ . - - - - - . ' ' ,,
'' - 0 ~ '.'.,..,. I , _ 1 1 "~-
~ - - - - ' - '< - - r, -, - ' - - ! \ - • ~ - - l : .,. = ,_ ' : - '
1
1
1 -------~\L, Fe11te JP ·'L G?ves 0No No Siu Fai~ UP .l [3ves 0No AIB
Oves 0No
Oves 0No
Oves 0No
Oves 0No
Oves 0No
Dves 0No
Oves 0No
Oves 0No
Oves 0No
Oves 0No
Oklahoma Site Inspection Form 1
OVERALL SITE ISSUES
Below are general site issues that should be assessed during each inspection. If a BMP/Activity is not applicable, place a
"N/A" in the Corrective Action section.
Are all slopes and disturbed G'.1ves areas not actively being
worked properly stabilized? Are natural resource areas (e.g., streams, wetlands, etc.)
~es protected with barriers or similar BMPs? Are perimeter controls and
ci"ves sediment barriers adequately installed and maintained?
Is there evidence of sediment Oves
being tracked into the street?
Are materials that are potential 0ves stormwater contaminants
stored inside or under cover? Is there evidence of pollutants leaving the site at discharge Oves locations? (Other)
Oves
ARE ADDITIONAL BMPS NEEDED?
Oves ~No
0No
0No
0No
[3No
0No
E6 No
0No
If yes, please complete the following table:
NOTES AND COMMENTS:
Oklahoma Site Inspection Form
0ves 0No
0ves 0No
~Yes 0No
~Yes 0No
E]Yes Orfo
r:ri' Yes 0No
Oves 0No \"-_.-/
2
1/24/18
' ·--...._/
REQUIRED CHANGES TO SWP3:
Changes Required to the Stormwater Pollution Prevention Plan: /vo,JF- . Reasons for Change:
Changes to be Performed By: On or Before:
CERTIFICATION STATEMENT:
"I certify under penalty of Jaw that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that qualified personnel properly gather and evaluate the information
submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for
gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and
imprisonment for knowing violations."
Inspector: Once inspection is completed, review inspection report with SWP3 Coordinator and address any issues discovered
during the inspection. Please print and sign the report below.
SWP3 Coordinator: Review inspection report with the Inspector. Address their concerns and complete the "Date for
Corrective Action/Responsible Person/Additional Comments" column. Once completed, sign below and send to
Environmental Services.
If the SWP3 Coordinator conducts the inspection, write "N/A" for the Inspector Signature.
J,l\(.Oi? Inspector Signature: *Please print & sign
'f5i!Ru+ · ~ Date: Ol / 'J..Y / 71Ji,~ ------=------'-,J"-----,f,..,._."--- I
SWP3 Coordinator Signature: Date: --------
Oklahoma Site Inspection Form 3
/ Groundwater Remediation Project Stormwater Pollution Prevention Plan
Inspection and Maintenance Report Form
Instructions: Each authorized inspector(s), as documented in the Stormwater Pollution Prevention Plan (SWP3), must complete this report as defined in the SWP3. If changes are required to the SWP3 complete the "Required Changes to SWP3" section in the inspection form. Attach additional paper if needed. Do not leave answers unanswered; use "N/A" if necessary. PLEASE REMEMBER TO UPDATE THE SITE MAP ACCORDING TO SITE CHANGES!
Inspector: Date of Inspection: }/7/)01~ Date of Last Rainfall: Qt/ I'S / 20,e Amount of Last Rainfall: (). "i ,,
D Yes ?No If yes, Any sediment or other pollutant discharges since last inspection? l...1!11' location:
Describe present phase of construction: Gt.1s-,il11t.no:11 (aN,f>li:.TF.... -~---------------------------
FREQUENCY OF SITE INSPECTIONS:
0 Once every 14 calendar days and within 24 hours of storm event of 0.5 inches or greater
D Once every month due to temporary or permanent stabilization
DID THE FREQUENCY OF SITE INSPECTIONS CHANGE? (Note: Frequency can only be changed at the beginning of each
month. The same frequency must be used for an entire month before changing it again.)
D Yes G::J' No
If yes, please complete the following:
Date change made:
Approximate end date of change: (If date unknown, mark "TBD")
SITE SPECIFIC BMPS
Sil1 ft111te 0Yes 0No Al)
Slrr ~tc. 0Yes 0No (Jo
['.'.'.] Yes 0No Nb 0Yes 0No
0Yes 0No
Oves 0No
0Yes 0No
0Yes 0No
0Yes 0No
0Yes 0No
0Yes 0No
0Yes 0No
0Yes 0No
Oklahoma Site Inspection Form 1
OVERALL SITE ISSUES
Below are general site issues that should be assessed during each inspection. If a BMP/Activity is not applicable, place a "N/A" in the Corrective Action section.
I.
--- - ·- -Are all slopes and disturbed
/
areas not actively being ~Yes worked properly stabilized? Are natural resource areas (e.g., streams, wetlands, etc.) [2l Yes protected with barriers or similar BMPs? Are perimeter controls and
Sves sediment barriers adequately installed and maintained?
Is there evidence of sediment . Oves being tracked into the street?
Are materials that are potential E]Yes stormwater contaminants
stored inside or under cover? Is there evidence of pollutants leaving the site at discharge Oves locations? (Other)
Oves
ARE ADDITIONAL BMPS NEEDED?
Oves ~ No
:, ·.
0No
0No
0No
EfNo
0No
0 No
0No
If yes, please complete the following table:
NOTES AND COMMENTS:
Oklahoma Site Inspection Form
-- - - - - --- ---: . -
: : -· - . - - - - . - - - -- -- . -
E2]Yes 0No
[aves 0No
[1ves 0No
~es 0No
0ves 0No
IZ]ves 0No
Dves 0No
-
:
..
2
2/7/18
/
· . ........__,...
REQUIRED CHANGES TO SWP3:
Changes Required to the Stormwater Pollution Prevention Plan:
Reasons for Change:
Changes to be Performed By: On or Before:
CERTIFICATION STATEMENT:
"I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that qualified personnel properly gather and evaluate the information
submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for
gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and
imprisonment for knowing violations."
Inspector: Once inspection is completed, review inspection.report with SWP3 Coordinator and address any issues discovered
during the inspection. Please print and sign the report below.
SWP3 Coordinator: Review inspection report with the Inspector. Address their concerns and complete the "Date for
Corrective Action/Responsible Person/Additional Comments" column. Once completed, sign below and send to
Environmental Services.
If the SWP3 Coordinator conducts the inspection, write "N/A" for the Inspector Signature.
Date: _2~/ 1~/~)o_t 8_
SWP3 Coordinator Signature: Date:
Oklahoma Site Inspection Form 3
2/28/18 - RSI2/28/18 - RSI2/28/18 - RSI2/28/18 - RSI
Groundwater Remediation Project Stormwater Pollution Prevention Plan
Inspection and Maintenance Report Form
Instructions: Each authorized inspector(s), as documented in the Stormwater Pollution Prevention Plan (SWP3), must complete this report as defined in the SWP3. If changes are required to the SWP3 complete the "Required Changes to SWP3" section in the inspection form. Attach additional paper if needed. Do not leave answers unanswered; use "N/A" if necessary. PLEASE REMEMBER TO UPDATE THE SITE MAP ACCORDING TO SITE CHANGES!
Inspector:
Date of Last Rainfall: g__~/,.a / ~ I
Date of Inspection:
Amount of Last Rainfall:
Any sediment or other pollutant discharges since last inspection? 0Yes ~ No
~ ,, <J. J..
If yes, location:
Describe present phase of construction: ~ ~t-A" c 1-, M 00 --u. {'Ll?,e-
FREQUENCY OF SITE INSPECTIONS:
~ Once every 14 calendar days and within 24 hours of storm event of 0.5 inches or greater
D Once every month due to temporary or permanent stabilization
DID THE FREQUENCY OF SITE INSPECTIONS CHANGE? {Note: Frequency can only be changed at the beginning of each
month. The same frequency must be used for an entire month before changing it again.)
D Yes [g) No
If yes, please complete the following:
Date change made:
Approximate end 9ate of change: (If date unknown, mark "TBD")
SITE SPECIFIC BMPS
0Yes
/bit 0Yes ~No
0Yes 0No
1->-o"" ~Yes 0No
l ~Oft, ~Yes 0No
0Yes 0No
0Yes 0No
0Yes 0No
0Yes 0No
0Yes 0No
0Yes 0No
Oklahoma Site Inspection Form 1
2/28/18 - RSI
OVERALL SITE ISSUES
Below are general site issues that should be assessed during each inspection. If a BMP/Activity is not applicable, place a "N/ A" in the Corrective Action section.
Are all slopes and disturbed areas not actively being gjYes worked properly stabilized? Are natural resource areas (e.g., streams, wetlands, etc.) 00' Yes protected with barriers or similar BMPs? Are perimeter controls and sediment barriers adequately g]Yes installed and maintained?
Is there evidence of sediment 0Yes
being tracked into the street?
Are materials that are potential stormwater contaminants 0Yes stored inside or under cover?
Is there evidence of pollutants leaving the site at discharge 0Yes locations? (Other)
0Yes
ARE ADDITIONAL BMPS NEEDED?
0Yes ~ No
0No
0No
0No
[!J No
0No
~No
0No
If yes, please complete the following table:
NOTES AND COMMENTS:
Oklahoma Site Inspection Form
~Yes 0No
gJ Yes 0No
0Yes ~No 1~~~e ~
0Yes ~No
0Yes 0No µ/ A
0Yes ~No
0Yes 0No
2
2/21/18
REQUIRED CHANGES TO SWP3:
Changes Required to the Stormwater Pollution Prevention Plan:
Reasons for Change:
Changes to be Performed By: On or Before:
CERTIFICATION STATEMENT:
"I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations."
Inspector: Once inspection is completed, review inspection report with SWP3 Coordinator and address any issues discovered during the inspection. Please print and sign the report below.
SWP3 Coordinator: Review inspection report with the Inspector. Address their concerns and complete the "Date for Corrective Action/Responsible Person/Additional Comments" column. Once completed, sign below and send to Environmental Services.
If the SWP3 Coo,dlnato, condu~ "N/A" to, the lnspecto, Slgnatu,e.
Inspector Signature: ;r-~F- L '-"fe Date: c;;;,/a. I /-;µ;;1 8" *Please print & sign ~ '
7L/~ SWP3 Coordinator Signature: Date:
Oklahoma Site Inspection Form 3
_,.......,
'
Groundwater Remediation Project Stormwater Pollution Prevention Plan
Inspection and Maintenance Report Form
Instructions: Each authorized inspector(s), as documented in the Stormwater Pollution Prevention Plan (SWP3), must complete this report as defined in the SWP3. If changes are required to the SWP3 complete t he "Required Changes to SWP3" section in the inspection form. Attach additional paper if needed. Do not leave answers unanswered; use "N/A" if necessary. PLEASE REMEMBER TO UPDATE THE SITE M AP ACCORDING TO SITE CHANGES!
Inspector: DAc..>E. (A:jLO.£ Date of Inspection: "3 / S / 2 c/lj ------''-------------
Amount of Last Rainfall: O . 01 ,,
Date of Last Rainfa ll: z. /2r / z.o \8. --------------
Any sediment or other pollutant discharges since last inspection?
Describe present phase of construction:
FREQUENCY OF SITE INSPECTIONS:
0Yes ~ o If yes, location:
~ Once every 14 calendar days and within 24 hours of storm event of 0.5 inches or greater
D Once every month due to temporary or permanent stabilization
DID THE FREQUENCY OF SITE INSPECTIONS CHANGE? (Note: Frequency can only be changed at the beginning of each
month. The same frequency must be used for an entire month before changing it again.)
0Yes ~ No
If yes, please complete the fol lowing:
Date change made: ------------
Approximate end date of change: {If date unknown, mark "TBD")
SITE SPECIFIC BMPS
- BMP Installed Corrective Action
, .. Date for Corrective Action/Responsible BMP Description
BMP Location and Operating (e.g. silt fence)
Properly Needed Person/ Additional Notes
S\<-1' Fe~ UP I Q1Yes 0No
~\t,T 'FC: ue~ Uf>2.. ,@°Yes 0 No
0Yes 0No
C\"T f!i.,',l(.f gh\ ~ Yes 0No
0 Yes 0No
('U.T F ,:.o('.(: + 12 oG... ~ Yes 0No
snuw /701 ~ Yes 0No
0Yes 0No
0Yes QNo
0Yes 0No
0Yes 0No
0Yes 0No
0Yes 0 No
Oklahoma Site Inspection Form 1
OVERALL SITE ISSUES
Below are general site issues that should be assessed during each inspect ion. If a BMP/ Activity is not applicable, place a "N/A" in t he Corrective Action sect ion.
BMP/ Activity Implemented?
Are all slopes and disturbed areas not act ively being ~Yes worked properly stabilized? Are natural resou rce areas (e.g., streams, wet lands, etc.)
~ Yes protected with barriers or ' similar BMPs? Are perimeter controls and sediment barriers adequately ~ Yes installed and maintained?
Is there evidence of sediment 0Yes
being t racked into the st reet?
Are materials that are potent ial stormwater contaminants 0 Yes stored inside or under cover? Is there evidence of pollutants leaving the site at discharge 0Yes locations? (Other)
0 Yes
ARE ADDITIONAL BMPS NEEDED?
0Yes ~ No
0No
0No
0 No
~ No
0 No
l&1 No
0No
If yes, please complete t he following table:
BMP Description
NOTES AND COMMENTS:
Oklahoma Site Inspection Form
Maintained? Corrective Action
~Yes 0 No
00,Yes 0No .
I:8,.Yes 0Nq . - . ~ 0Yes ~No
0 Yes 0No ~ ( 1'
0 Yes 00 No
0 Yes 0No
BMP Location
' .
-.
Date for Corrective Action/Responsible
Person/ Additional Notes
-. l
... .
Date BMP Installed
•, : t ~ " I ..,
i /t, .
. I .... . ' ...
--
)
2
3/8/18
REQUIRED CHANGES TO SWP3:
Changes Required to the Stormwater Pollution Prevention Plan: _,_N~O~).J~e,'---------------
Reasons for Change:
Changes to be Performed By: On or Before:
CERTIFICATION STATEMENT:
"I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for
gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations."
Inspector: Once inspection is completed, review inspection report with SWP3 Coordinator and address any issues discovered during the inspection. Please print and sign the report below.
SWP3 Coordinator: Review inspection report with the Inspector. Address their concerns and complete the "Date for Corrective Action/Responsible Person/Additional Comments" column. Once completed, sign below and send to
Environmental Services.
If the SWP3 Coordinator conducts the inspection, write "N/A" for the Inspector Signature.
lnspecto, ''""'"'" o. t:>,jl.0/!-~ Datec 3 L 8 /zol8 *Please print & sign
SWP3 Coordinator Signature: 7&: ,/~ Date:
Oklahoma Site Inspection Form 3
Groundwater Remediation Project Stormwater Pollution Prevention Plan
Inspection and Maintenance Report Form
Instructions: Each authorized inspector{s), as documented in the Stormwater Pollution Prevention Plan {SWP3), must complete this report as defined in the SWP3. If changes are required to the SWP3 complete the "Required Changes to SWP3" section in the inspection form. Attach additional paper if needed. Do not leave answers unanswered; use "N/A" if necessary. PLEASE REMEMBER TO UPDATE THE SITE MAP ACCORDING TO SITE CHANGES!
Inspector: DA ,-.J a. \4'1 I.J!/{2_ Date of Inspection:
Date of Last Rainfall: -$ /t & /2. o I 8,. Amount of Last Rainfall:
Any sediment or other pollutant d ischarges since last inspection? D Yes ~ o
Describe present phase of construction:
FREQUENCY OF SITE INSPECTIONS:
If yes, location:
~ Once every 14 calendar days and within 24 hours of storm event of 0.5 inches or greater
D Once every month due to temporary or permanent stabilization
DID THE FREQUENCY OF SITE INSPECTIONS CHANGE? (Note: Frequency can only be changed at the beginning of each
month. The same frequency must be used for an entire month before changing it again.)
0Yes ~ o
~ If yes, please complete the following:
Date change made:
Approximate end date of change: - - --- ------(If date unknown, mark "TBD")
SITE SPECIFIC BMPS
BMP Description BMP Installed
Corrective Action Date for Corrective Action/Responsible BMP Location and Operating
(e.g. silt fence) Properly Needed Person/ Additional Notes
$\1,, ~e.~ \.J ~ \ & Yes 0No
~ \i..:s; ;::'€_t,K..~ \. \~2 ~ es 0No
0Yes 0No
<. \ 1-, ~~).JCS. ~P...\ Q.yes 0No
0Yes 0No
s \ '-~ 'f?~ 1-J~ \ 2..0<:o @ es 0No
<;~~ \'L.o<..o t:2f'yes 0No
0Yes 0 No
0Yes 0No
0Yes 0No
0Yes 0No
,........., 0Yes 0 No
I 0Yes 0No
Oklahoma Site Inspection Form 1
OVERALL SITE ISSUES
Below are general site issues that should be assessed during each inspection. If a BMP/Activity is not applicable, place a "N/A" in the Corrective Act ion section.
BMP/Activity Implemented?
Are all slopes and disturbed c:L, __ areas not actively being ~ - 0No worked properly stabilized? Are natural resource areas (e.g., streams, wetlands, etc.)
~ 0No protected with barriers or similar BMPs? Are perimeter controls and
~ 0No sediment barriers adequately installed and maintained?
Is there evidence of sediment Oves Wo being tracked into the street?
Are materials that are potential
~ DNo stormwater contaminants stored inside or under cover? Is there evidence of pollutants
Oves ~ leaving the site at discharge locations? (Other)
Oves 0No
ARE ADDITIONAL BMPS NEEDED?
Oves ~ If yes, ~e·~~mplete the following table:
BMP Description,_ -' : .
NOTES AND COMMENTS:
Oklahoma Site Inspection Form
Date for Corrective Maintained? Corrective Action Action/Responsible
Person/Additional Notes
d-ves 0No
~ s 0No
~ s 0No
Oves &.fwo
kfres- 0 No
_J
Oves~ 1~0
Oves 0 No
BMP Location .,: Date BMP Installed .
2
3/20/18
REQUIRED CHANGES TO SWP3:
Changes Required to the Stormwater Pollution Prevention Plan: -"-~ \~CJ~ )-..)~ ~~-- ---- ---------
Reasons for Change:
Changes to be Performed By: On or Before:
CERTIFICATION STATEMENT:
"I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in
accordance wi th a system designed to assure that qualified personnel properly gather and evaluate the information
submitted. Based on my inquiry of the person or persons who managed the system, or t hose persons direct ly responsible for
gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and
imprison ment for knowing violations."
Inspector: Once inspection is completed, review inspection report with SWP3 Coordinator and address any issues discovered
during the inspection. Please print and sign the report below.
SWP3 Coordinator: Review inspection report with the Inspector. Address their concerns and complete the "Date for
Corrective Action/Responsible Person/Additional Comments" column. Once completed, sign below and send to
Environmental Services.
Inspector Signature: *Please print & sign
SWP3 Coordinator Signature:
Oklahoma Sit e Inspection Form
rite "N/A" for the Inspector Signature.
Date: g / 2Q lzoJ 8 r '
Date:
3
DEQ Template on Site Inspection Report, V.1 Page | 1
Site Inspection Report
Inspection Date: ____________________
General Information (OKR10 Part 4.3.13.E)
Name of Project: Groundwater Remediation Project DEQ Permit No.: 1027644
Inspector Name: Inspector Title:
Inspector’s Contact Information:
Inspection Frequency: Standard Frequency: ☐ Every 7 days and within 24 hours of a 0.50” rain, or discharge from snowmelt ☐ Every 14 days and within 24 hours of a 0.50” rain, or discharge from snowmelt Reduced Frequency: ☐ Once per month (for stabilized areas)
Weather at the time of this inspection: ______________________________________
Was this inspection after a 0.50” storm event? ☐ Yes ☐ No, Total rainfall that triggered the inspection (in inches):
Are there any discharges at the time of inspection? ☐ Yes ☐ No List all areas where soil stabilization is required to begin because construction work in that area has permanently or temporarily stopped and all areas where stabilization has been implemented:
Stabilization of Exposed Soil (OKR10 Part 4.3.13.D)
Stabilization Area Stabilization Method Have You Initiated Stabilization?
Notes (describe your observation)
☐ Yes ☐ No If yes, provide date:
☐ Yes ☐ No If yes, provide date:
☐ Yes ☐ No If yes, provide date:
☐ Yes ☐ No If yes, provide date:
☐ Yes ☐ No If yes, provide date:
(Notes: For each area where stabilization has been initiated, describe the progress that has been made, and what additional actions are necessary to complete stabilization. Note the effectiveness of stabilization in preventing erosion. If stabilization has been initiated but not completed, make a note of the date it is to be completed. If stabilization has been completed, make a note of the date it was completed. If stabilization has not yet been initiated, make a note of the date it is to be initiated, and the date it is to be completed.) Provide a list/description of all structural and non-structural BMPs that your SWP3 indicates will be installed and implemented at your site. You must separately identify the location of each control. During Inspection, identify whether they are installed and operating properly, or any corrective action is necessary. Provide the date on which the condition that triggered the need for maintenance or corrective action was first identified. In the notes section you must describe the specifics about the problem you observed.
DEQ Template on Site Inspection Report, V.1 Page | 2
Condition and Effectiveness of BMP Controls & Pollution Prevention (OKR10 Part 3.3, 4 & 5)
No. BMP Description & Location Is BMP
Installed & Operating Properly?
Corrective Action (CA) Required?
Date on Which Maintenance or CA First Identified?
Notes (describe if you
observed any problem)
1. Silt Fence/Fiber Rolls/Berm/Wattles Location: ☐ Yes ☐ No ☐ Yes ☐ No
2. Silt Dikes/Check Dams/Rock Dams Location: ☐ Yes ☐ No ☐ Yes ☐ No
3. Stabilized Construction Entrance/Exit Location: ☐ Yes ☐ No ☐ Yes ☐ No
4. Inlet Protection on all storm drain Location: ☐ Yes ☐ No ☐ Yes ☐ No
5. Sand Bag Barrier/Gravel Bag Barrier Location: ☐ Yes ☐ No ☐ Yes ☐ No
6. Vegetated Swales Location: ☐ Yes ☐ No ☐ Yes ☐ No
7. Compost Blankets/Geotextiles/Mats Location: ☐ Yes ☐ No ☐ Yes ☐ No
8. Vegetative Buffers Location: ☐ Yes ☐ No ☐ Yes ☐ No
9. Sediment Trap/ Sediment Basin Location: ☐ Yes ☐ No ☐ Yes ☐ No
10. Concrete Washout Pit Location: ☐ Yes ☐ No ☐ Yes ☐ No
11. Dust Control/Prevention
☐ Yes ☐ No ☐ Yes ☐ No
12.
☐ Yes ☐ No ☐ Yes ☐ No
13.
☐ Yes ☐ No ☐ Yes ☐ No
14.
☐ Yes ☐ No ☐ Yes ☐ No
15.
☐ Yes ☐ No ☐ Yes ☐ No
16.
☐ Yes ☐ No ☐ Yes ☐ No
(Note: The permit differentiates between conditions requiring repairs and maintenance, and those requiring corrective action. The permit requires maintenance in order to keep controls in effective operating condition and requires repairs if controls are not operating as intended. Corrective actions are triggered only for specific, more serious conditions – whether a required stormwater control was never installed, or was installed incorrectly, or not installed in accordance with the requirements of OKR10)
DEQ Template on Site Inspection Report, V.1 Page | 3
Pollution Prevention and Waste Management (OKR10 Part 3.3.3) Items of Inspection Response & Reason Action(s) Needed
Is the site free of floatables, litter, and construction debris? ☐ Yes ☐ No If no, reason:
Are material storage and handling areas, including fueling areas, free of spills and leaks?
☐ Yes ☐ No If no, reason:
Are spill kits available where spills and leaks are likely to occur?
☐ Yes ☐ No If no, reason:
Are dumpsters and waste receptacles covered when not in use?
☐ Yes ☐ No If no, reason:
Has preventative maintenance been conducted on equipment and machinery?
☐ Yes ☐ No If no, reason:
Are material stockpiles sufficiently contained? ☐ Yes ☐ No If no, reason:
Has there been any sediment tracked-out from the site onto the surface of paved street, sidewalks or other paved areas outside of the site?
☐ Yes ☐ No If no, reason:
Is the project free from visible erosion and/or sedimentation?
☐ Yes ☐ No If no, reason:
Complete the following section if a discharge is occurring at the time of inspection:
Description of Discharges (OKR10 Part 4.3.13.D.2.f) Was a stormwater discharge or other discharge occurring from any part of your site at the time of the inspection? ☐ Yes ☐ No, If yes, provide the following information for each point of discharge:
Specify Discharge Location
Observations (Visual Quality of the Discharge)
1. Describe the discharge (color, odor, floating, settled/suspended solids, foam, & oil sheen):
Are there any visible signs of erosion and/or sediment accumulation that can be attributed to your discharge? ☐ Yes ☐ No, If yes, describe what you see, specify the location(s) where these conditions were found, and indicate whether modification, maintenance, or corrective action is needed to resolve the issue:
2. Describe the discharge (color, odor, floating, settled/suspended solids, foam, & oil sheen):
Are there any visible signs of erosion and/or sediment accumulation that can be attributed to your discharge? ☐ Yes ☐ No, If yes, describe what you see, specify the location(s) where these conditions were found, and indicate whether modification, maintenance, or corrective action is needed to resolve the issue:
Contractor or Subcontractor Certification and Signature: I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations.
Signature:_______________________________________ Date: _____________________________
Print Name: _________________________________ Affiliation: ___________________________________
DEQ Template on Site Inspection Report, V.1 Page | 1
Site Inspection Report
Inspection Date: ____________________
General Information (OKR10 Part 4.3.13.E)
Name of Project: Groundwater Remediation Project DEQ Permit No.: 1027644
Inspector Name: Inspector Title:
Inspector’s Contact Information:
Inspection Frequency: Standard Frequency: ☐ Every 7 days and within 24 hours of a 0.50” rain, or discharge from snowmelt ☐ Every 14 days and within 24 hours of a 0.50” rain, or discharge from snowmelt Reduced Frequency: ☐ Once per month (for stabilized areas)
Weather at the time of this inspection: ______________________________________
Was this inspection after a 0.50” storm event? ☐ Yes ☐ No, Total rainfall that triggered the inspection (in inches):
Are there any discharges at the time of inspection? ☐ Yes ☐ No List all areas where soil stabilization is required to begin because construction work in that area has permanently or temporarily stopped and all areas where stabilization has been implemented:
Stabilization of Exposed Soil (OKR10 Part 4.3.13.D)
Stabilization Area Stabilization Method Have You Initiated Stabilization?
Notes (describe your observation)
☐ Yes ☐ No If yes, provide date:
☐ Yes ☐ No If yes, provide date:
☐ Yes ☐ No If yes, provide date:
☐ Yes ☐ No If yes, provide date:
☐ Yes ☐ No If yes, provide date:
(Notes: For each area where stabilization has been initiated, describe the progress that has been made, and what additional actions are necessary to complete stabilization. Note the effectiveness of stabilization in preventing erosion. If stabilization has been initiated but not completed, make a note of the date it is to be completed. If stabilization has been completed, make a note of the date it was completed. If stabilization has not yet been initiated, make a note of the date it is to be initiated, and the date it is to be completed.) Provide a list/description of all structural and non-structural BMPs that your SWP3 indicates will be installed and implemented at your site. You must separately identify the location of each control. During Inspection, identify whether they are installed and operating properly, or any corrective action is necessary. Provide the date on which the condition that triggered the need for maintenance or corrective action was first identified. In the notes section you must describe the specifics about the problem you observed.
DEQ Template on Site Inspection Report, V.1 Page | 2
Condition and Effectiveness of BMP Controls & Pollution Prevention (OKR10 Part 3.3, 4 & 5)
No. BMP Description & Location Is BMP
Installed & Operating Properly?
Corrective Action (CA) Required?
Date on Which Maintenance or CA First Identified?
Notes (describe if you
observed any problem)
1. Silt Fence/Fiber Rolls/Berm/Wattles Location: ☐ Yes ☐ No ☐ Yes ☐ No
2. Silt Dikes/Check Dams/Rock Dams Location: ☐ Yes ☐ No ☐ Yes ☐ No
3. Stabilized Construction Entrance/Exit Location: ☐ Yes ☐ No ☐ Yes ☐ No
4. Inlet Protection on all storm drain Location: ☐ Yes ☐ No ☐ Yes ☐ No
5. Sand Bag Barrier/Gravel Bag Barrier Location: ☐ Yes ☐ No ☐ Yes ☐ No
6. Vegetated Swales Location: ☐ Yes ☐ No ☐ Yes ☐ No
7. Compost Blankets/Geotextiles/Mats Location: ☐ Yes ☐ No ☐ Yes ☐ No
8. Vegetative Buffers Location: ☐ Yes ☐ No ☐ Yes ☐ No
9. Sediment Trap/ Sediment Basin Location: ☐ Yes ☐ No ☐ Yes ☐ No
10. Concrete Washout Pit Location: ☐ Yes ☐ No ☐ Yes ☐ No
11. Dust Control/Prevention
☐ Yes ☐ No ☐ Yes ☐ No
12.
☐ Yes ☐ No ☐ Yes ☐ No
13.
☐ Yes ☐ No ☐ Yes ☐ No
14.
☐ Yes ☐ No ☐ Yes ☐ No
15.
☐ Yes ☐ No ☐ Yes ☐ No
16.
☐ Yes ☐ No ☐ Yes ☐ No
(Note: The permit differentiates between conditions requiring repairs and maintenance, and those requiring corrective action. The permit requires maintenance in order to keep controls in effective operating condition and requires repairs if controls are not operating as intended. Corrective actions are triggered only for specific, more serious conditions – whether a required stormwater control was never installed, or was installed incorrectly, or not installed in accordance with the requirements of OKR10)
DEQ Template on Site Inspection Report, V.1 Page | 3
Pollution Prevention and Waste Management (OKR10 Part 3.3.3) Items of Inspection Response & Reason Action(s) Needed
Is the site free of floatables, litter, and construction debris? ☐ Yes ☐ No If no, reason:
Are material storage and handling areas, including fueling areas, free of spills and leaks?
☐ Yes ☐ No If no, reason:
Are spill kits available where spills and leaks are likely to occur?
☐ Yes ☐ No If no, reason:
Are dumpsters and waste receptacles covered when not in use?
☐ Yes ☐ No If no, reason:
Has preventative maintenance been conducted on equipment and machinery?
☐ Yes ☐ No If no, reason:
Are material stockpiles sufficiently contained? ☐ Yes ☐ No If no, reason:
Has there been any sediment tracked-out from the site onto the surface of paved street, sidewalks or other paved areas outside of the site?
☐ Yes ☐ No If no, reason:
Is the project free from visible erosion and/or sedimentation?
☐ Yes ☐ No If no, reason:
Complete the following section if a discharge is occurring at the time of inspection:
Description of Discharges (OKR10 Part 4.3.13.D.2.f) Was a stormwater discharge or other discharge occurring from any part of your site at the time of the inspection? ☐ Yes ☐ No, If yes, provide the following information for each point of discharge:
Specify Discharge Location
Observations (Visual Quality of the Discharge)
1. Describe the discharge (color, odor, floating, settled/suspended solids, foam, & oil sheen):
Are there any visible signs of erosion and/or sediment accumulation that can be attributed to your discharge? ☐ Yes ☐ No, If yes, describe what you see, specify the location(s) where these conditions were found, and indicate whether modification, maintenance, or corrective action is needed to resolve the issue:
2. Describe the discharge (color, odor, floating, settled/suspended solids, foam, & oil sheen):
Are there any visible signs of erosion and/or sediment accumulation that can be attributed to your discharge? ☐ Yes ☐ No, If yes, describe what you see, specify the location(s) where these conditions were found, and indicate whether modification, maintenance, or corrective action is needed to resolve the issue:
Contractor or Subcontractor Certification and Signature: I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations.
Signature:_______________________________________ Date: _____________________________
Print Name: _________________________________ Affiliation: ___________________________________
DEQ Template on Site Inspection Report, V.1 Page | 1
Site Inspection Report
Inspection Date: ____________________
General Information (OKR10 Part 4.3.13.E)
Name of Project: Groundwater Remediation Project DEQ Permit No.: 1027644
Inspector Name: Inspector Title:
Inspector’s Contact Information:
Inspection Frequency: Standard Frequency: ☐ Every 7 days and within 24 hours of a 0.50” rain, or discharge from snowmelt ☐ Every 14 days and within 24 hours of a 0.50” rain, or discharge from snowmelt Reduced Frequency: ☐ Once per month (for stabilized areas)
Weather at the time of this inspection: ______________________________________
Was this inspection after a 0.50” storm event? ☐ Yes ☐ No, Total rainfall that triggered the inspection (in inches):
Are there any discharges at the time of inspection? ☐ Yes ☐ No List all areas where soil stabilization is required to begin because construction work in that area has permanently or temporarily stopped and all areas where stabilization has been implemented:
Stabilization of Exposed Soil (OKR10 Part 4.3.13.D)
Stabilization Area Stabilization Method Have You Initiated Stabilization?
Notes (describe your observation)
☐ Yes ☐ No If yes, provide date:
☐ Yes ☐ No If yes, provide date:
☐ Yes ☐ No If yes, provide date:
☐ Yes ☐ No If yes, provide date:
☐ Yes ☐ No If yes, provide date:
(Notes: For each area where stabilization has been initiated, describe the progress that has been made, and what additional actions are necessary to complete stabilization. Note the effectiveness of stabilization in preventing erosion. If stabilization has been initiated but not completed, make a note of the date it is to be completed. If stabilization has been completed, make a note of the date it was completed. If stabilization has not yet been initiated, make a note of the date it is to be initiated, and the date it is to be completed.) Provide a list/description of all structural and non-structural BMPs that your SWP3 indicates will be installed and implemented at your site. You must separately identify the location of each control. During Inspection, identify whether they are installed and operating properly, or any corrective action is necessary. Provide the date on which the condition that triggered the need for maintenance or corrective action was first identified. In the notes section you must describe the specifics about the problem you observed.
DEQ Template on Site Inspection Report, V.1 Page | 2
Condition and Effectiveness of BMP Controls & Pollution Prevention (OKR10 Part 3.3, 4 & 5)
No. BMP Description & Location Is BMP
Installed & Operating Properly?
Corrective Action (CA) Required?
Date on Which Maintenance or CA First Identified?
Notes (describe if you
observed any problem)
1. Silt Fence/Fiber Rolls/Berm/Wattles Location: ☐ Yes ☐ No ☐ Yes ☐ No
2. Silt Dikes/Check Dams/Rock Dams Location: ☐ Yes ☐ No ☐ Yes ☐ No
3. Stabilized Construction Entrance/Exit Location: ☐ Yes ☐ No ☐ Yes ☐ No
4. Inlet Protection on all storm drain Location: ☐ Yes ☐ No ☐ Yes ☐ No
5. Sand Bag Barrier/Gravel Bag Barrier Location: ☐ Yes ☐ No ☐ Yes ☐ No
6. Vegetated Swales Location: ☐ Yes ☐ No ☐ Yes ☐ No
7. Compost Blankets/Geotextiles/Mats Location: ☐ Yes ☐ No ☐ Yes ☐ No
8. Vegetative Buffers Location: ☐ Yes ☐ No ☐ Yes ☐ No
9. Sediment Trap/ Sediment Basin Location: ☐ Yes ☐ No ☐ Yes ☐ No
10. Concrete Washout Pit Location: ☐ Yes ☐ No ☐ Yes ☐ No
11. Dust Control/Prevention
☐ Yes ☐ No ☐ Yes ☐ No
12.
☐ Yes ☐ No ☐ Yes ☐ No
13.
☐ Yes ☐ No ☐ Yes ☐ No
14.
☐ Yes ☐ No ☐ Yes ☐ No
15.
☐ Yes ☐ No ☐ Yes ☐ No
16.
☐ Yes ☐ No ☐ Yes ☐ No
(Note: The permit differentiates between conditions requiring repairs and maintenance, and those requiring corrective action. The permit requires maintenance in order to keep controls in effective operating condition and requires repairs if controls are not operating as intended. Corrective actions are triggered only for specific, more serious conditions – whether a required stormwater control was never installed, or was installed incorrectly, or not installed in accordance with the requirements of OKR10)
DEQ Template on Site Inspection Report, V.1 Page | 3
Pollution Prevention and Waste Management (OKR10 Part 3.3.3) Items of Inspection Response & Reason Action(s) Needed
Is the site free of floatables, litter, and construction debris? ☐ Yes ☐ No If no, reason:
Are material storage and handling areas, including fueling areas, free of spills and leaks?
☐ Yes ☐ No If no, reason:
Are spill kits available where spills and leaks are likely to occur?
☐ Yes ☐ No If no, reason:
Are dumpsters and waste receptacles covered when not in use?
☐ Yes ☐ No If no, reason:
Has preventative maintenance been conducted on equipment and machinery?
☐ Yes ☐ No If no, reason:
Are material stockpiles sufficiently contained? ☐ Yes ☐ No If no, reason:
Has there been any sediment tracked-out from the site onto the surface of paved street, sidewalks or other paved areas outside of the site?
☐ Yes ☐ No If no, reason:
Is the project free from visible erosion and/or sedimentation?
☐ Yes ☐ No If no, reason:
Complete the following section if a discharge is occurring at the time of inspection:
Description of Discharges (OKR10 Part 4.3.13.D.2.f) Was a stormwater discharge or other discharge occurring from any part of your site at the time of the inspection? ☐ Yes ☐ No, If yes, provide the following information for each point of discharge:
Specify Discharge Location
Observations (Visual Quality of the Discharge)
1. Describe the discharge (color, odor, floating, settled/suspended solids, foam, & oil sheen):
Are there any visible signs of erosion and/or sediment accumulation that can be attributed to your discharge? ☐ Yes ☐ No, If yes, describe what you see, specify the location(s) where these conditions were found, and indicate whether modification, maintenance, or corrective action is needed to resolve the issue:
2. Describe the discharge (color, odor, floating, settled/suspended solids, foam, & oil sheen):
Are there any visible signs of erosion and/or sediment accumulation that can be attributed to your discharge? ☐ Yes ☐ No, If yes, describe what you see, specify the location(s) where these conditions were found, and indicate whether modification, maintenance, or corrective action is needed to resolve the issue:
Contractor or Subcontractor Certification and Signature: I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations.
Signature:_______________________________________ Date: _____________________________
Print Name: _________________________________ Affiliation: ___________________________________
APPENDIX Q – COMPACTION TESTING REPORTS
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APPENDIX R – PROCTOR REPORT
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APPENDIX S – PILOT TESTING PHOTO LOG
Burns & McDonnell Project No: 96785 Pilot Testing 100 North Highway 74, Guthrie, Oklahoma
Pilot Test Photo Log.doc 1 of 3 Date photographs taken: September 29, 2017 to December 14, 2017
Photo 1: Staged frac tanks Photo 2: Extraction skid
Photo 3: Injection skid Photo 4: Injection skid with temporary piping
Burns & McDonnell Project No: 96785 Pilot Testing 100 North Highway 74, Guthrie, Oklahoma
Pilot Test Photo Log.doc 2 of 3 Date photographs taken: September 29, 2017 to December 14, 2017
Photo 5: Extraction test skid with temporary piping Photo 6: Digital water meter
Photo 7: Sediment accumulation in filter Photo 8: Potable water with tracer dye staged for
injection test
Burns & McDonnell Project No: 96785 Pilot Testing 100 North Highway 74, Guthrie, Oklahoma
Pilot Test Photo Log.doc 3 of 3 Date photographs taken: September 29, 2017 to December 14, 2017
Photo 9: Tracer dye in monitor well
TR-07 Photo 10: Preparing to take tracer dye concentration
readings from BA1 monitor wells
Photo 11: Manual checking of water levels in BA1 Photo 12: Manual checking of water levels in BA1
APPENDIX T – STEP-RATE DRAWDOWN DATA SHEETS
STEP-RATE DRAWDOWN TEST DATA - Page 1
CERT 11/13/17
GETR-BA1-01B 7.55 ft top
24.10 ft J. Binder
(Static Depth to Water + 0.9X(Well Depth - Static Depth to Water))
Step 1 Rate: 2.5 gpm Step 2 Rate: 7.5 gpm Step 3 Rate: 9.9 gpm Step 4 Rate: 13 gpm
Start Time: 1152 Start Time: 1350 Start Time: 1435 Start Time: 1506
Time
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1.25 8.35 0.8 1.25 10.1 2.35 1.25 10.3 2.55 1.25 10.32 2.771.5 8.36 0.81 1.5 10.11 2.36 1.5 10.3 2.55 1.5 10.32 2.77
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2.25 8.4 0.85 2.25 10.13 2.38 2.25 10.3 2.55 2.25 10.32 2.772.5 8.43 0.88 2.5 10.14 2.39 2.5 10.3 2.55 2.5 10.32 2.77
2.75 8.44 0.89 2.75 10.14 2.39 2.75 10.3 2.55 2.75 10.32 2.773 8.46 0.91 3 10.15 2.4 3 10.3 2.55 3 10.32 2.77
3.25 8.48 0.93 3.25 10.16 2.41 3.25 10.3 2.55 3.25 10.33 2.783.5 8.49 0.94 3.5 10.2 2.45 3.5 10.3 2.55 3.5 10.32 2.77
3.75 8.49 0.94 3.75 10.2 2.45 3.75 10.3 2.55 3.75 10.32 2.774 8.5 0.95 4 10.2 2.45 4 10.3 2.55 4 10.32 2.77
4.25 8.53 0.98 4.25 10.22 2.47 4.25 10.3 2.55 4.25 10.32 2.774.5 8.55 1 4.5 10.22 2.47 4.5 10.3 2.55 4.5 10.32 2.77
4.75 8.57 1.02 4.75 10.22 2.47 4.75 10.3 2.55 4.75 10.32 2.775 8.58 1.03 5 10.23 2.48 5 10.3 2.55 5 10.33 2.78
5.5 8.6 1.05 5.5 10.25 2.5 5.5 10.3 2.55 5.5 10.33 2.786 8.61 1.06 6 10.25 2.5 6 10.3 2.55 6 10.33 2.78
6.5 8.63 1.08 6.5 10.25 2.5 6.5 10.3 2.55 6.5 10.33 2.787 8.65 1.1 7 10.25 2.5 7 10.3 2.55 7 10.33 2.78
7.5 8.66 1.11 7.5 10.25 2.5 7.5 10.3 2.55 7.5 10.33 2.788 8.67 1.12 8 10.25 2.5 8 10.3 2.55 8 10.33 2.78
8.5 8.68 1.13 8.5 10.25 2.5 8.5 10.3 2.55 8.5 10.33 2.789 8.69 1.14 9 10.25 2.5 9 10.3 2.55 9 10.33 2.78
9.5 8.71 1.16 9.5 10.25 2.5 9.5 10.3 2.55 9.5 10.33 2.7810 8.73 1.18 10 10.25 2.5 10 10.31 2.56 10 10.33 2.7811 8.75 1.2 11 10.25 2.5 11 10.32 2.57 11 10.33 2.7812 8.8 1.25 12 10.25 2.5 12 10.32 2.57 12 10.33 2.7813 8.84 1.29 13 10.25 2.5 13 10.32 2.57 13 10.33 2.7814 8.85 1.3 14 10.25 2.5 14 10.32 2.57 14 10.33 2.7815 8.9 1.35 15 10.25 2.5 15 10.32 2.57 15 10.35 2.816 8.91 1.36 16 10.25 2.5 16 10.32 2.57 16 10.36 2.8117 8.92 1.37 17 10.25 2.5 17 10.32 2.57 17 10.37 2.8218 8.95 1.4 18 10.25 2.5 18 10.32 2.57 18 10.38 2.8319 9.01 1.46 19 10.25 2.5 19 10.32 2.57 19 10.39 2.8420 9.03 1.48 20 10.25 2.5 20 10.32 2.57 20 10.4 2.8522 9.1 1.55 22 10.25 2.5 22 10.32 2.57 22 10.4 2.8524 9.17 1.62 24 10.25 2.5 24 10.32 2.57 24 10.4 2.8526 9.25 1.7 26 10.25 2.5 26 10.32 2.57 26 10.42 2.8728 9.3 1.75 28 10.25 2.5 28 10.32 2.57 28 10.44 2.8930 9.38 1.83 30 10.25 2.5 30 10.32 2.57 30 10.48 2.9335 9.55 2 35 35 35 10.51 2.9640 9.7 2.15 40 40 40 10.55 345 9.87 2.32 45 45 45 10.54 2.9950 10.01 2.46 50 50 50 10.55 355 10.15 2.6 55 55 55 10.56 3.0160 10.3 2.75 60 60 60 10.58 3.03
Stop Time: 1252 Stop Time: 1410 Stop Time: 1505 Stop Time: 1606
Notes: DTW = Depth to Water
gpm = gallons per minute
Stop steps 2 and 3 at 30 minutes due to flow meter issues
90% Recovery:
Static Depth to Water:
Recorded by:
Site:
Well:
Well Depth:
Date:
Form SAP-114-1
STEP-RATE DRAWDOWN TEST DATA - Page 2
CERT 11/14/17
GETR-BA1-01B 8.33
24.10 ft J. Binder
(Static Depth to Water + 0.9X(Well Depth - Static Depth to Water))
Step 1 Rate: 13 gpm Step 2 Rate: 23 gpm Step 3 Rate: 30 gpm Step 4 Rate: 43 gpm
Start Time: Start Time: 959 Start Time: 1102 Start Time: 1212
Time
(min.)
DTW
(ft.)
Drawdown
(ft.)
Flow
(gpm)
Time
(min.)
DTW
(ft.)
Drawdown
(ft.)
Flow
(gpm)
Time
(min.)
DTW
(ft.)
Drawdown
(ft.)
Flow
(gpm)
Time
(min.)
DTW
(ft.)
Drawdown
(ft.)
Flow
(gpm)
0.25 8.39 0.06 0.25 9.01 0.35 0.25 10.11 1.45 0.25 11.4 2.740.5 8.4 0.07 0.5 9.08 0.42 0.5 10.13 1.47 0.5 11.42 2.76
0.75 8.4 0.07 0.75 9.11 0.45 0.75 10.14 1.48 0.75 11.45 2.791 8.4 0.07 1 9.12 0.46 1 10.15 1.49 1 11.46 2.8
1.25 8.4 0.07 1.25 9.12 0.46 1.25 10.16 1.5 1.25 11.47 2.811.5 8.4 0.07 1.5 9.14 0.48 1.5 10.16 1.5 1.5 11.47 2.81
1.75 8.4 0.07 1.75 9.16 0.5 1.75 10.17 1.51 1.75 11.47 2.812 8.4 0.07 2 9.16 0.5 2 10.17 1.51 2 11.47 2.81
2.25 8.4 0.07 2.25 9.16 0.5 2.25 10.18 1.52 2.25 11.47 2.812.5 8.4 0.07 2.5 9.17 0.51 2.5 10.18 1.52 2.5 11.47 2.81
2.75 8.4 0.07 2.75 9.17 0.51 2.75 10.18 1.52 2.75 11.47 2.813 8.4 0.07 3 9.17 0.51 3 10.19 1.53 3 11.47 2.81
3.25 8.41 0.08 3.25 9.17 0.51 3.25 10.19 1.53 3.25 11.47 2.813.5 8.4 0.07 3.5 9.17 0.51 3.5 10.2 1.54 3.5 11.48 2.82
3.75 8.4 0.07 3.75 9.17 0.51 3.75 10.2 1.54 3.75 11.48 2.824 8.4 0.07 4 9.18 0.52 4 10.2 1.54 4 11.49 2.83
4.25 8.4 0.07 4.25 9.18 0.52 4.25 10.2 1.54 4.25 11.49 2.834.5 8.4 0.07 4.5 9.18 0.52 4.5 10.21 1.55 4.5 11.5 2.84
4.75 8.4 0.07 4.75 9.18 0.52 4.75 10.21 1.55 4.75 11.5 2.845 8.41 0.08 5 9.18 0.52 5 10.22 1.56 5 11.51 2.85
5.5 8.41 0.08 5.5 9.18 0.52 5.5 10.23 1.57 5.5 11.54 2.886 8.41 0.08 6 9.19 0.53 6 10.24 1.58 6 11.56 2.9
6.5 8.41 0.08 6.5 9.19 0.53 6.5 10.25 1.59 6.5 11.57 2.917 8.41 0.08 7 9.2 0.54 7 10.25 1.59 7 11.59 2.93
7.5 8.41 0.08 7.5 9.2 0.54 7.5 10.26 1.6 7.5 11.6 2.948 8.41 0.08 8 9.21 0.55 8 10.27 1.61 8 11.61 2.95
8.5 8.41 0.08 8.5 9.22 0.56 8.5 10.27 1.61 8.5 11.62 2.969 8.41 0.08 9 9.24 0.58 9 10.28 1.62 9 11.64 2.98
9.5 8.41 0.08 9.5 9.28 0.62 9.5 10.29 1.63 9.5 11.68 3.0210 8.41 0.08 10 9.29 0.63 23 10 10.3 1.64 30 10 11.7 3.04 4311 8.41 0.08 11 9.29 0.63 11 10.33 1.67 11 11.74 3.0812 8.41 0.08 12 9.3 0.64 12 10.35 1.69 12 11.8 3.1413 8.41 0.08 13 9.31 0.65 13 10.37 1.71 13 11.88 3.2214 8.41 0.08 14 9.33 0.67 14 10.4 1.74 14 11.9 3.2415 8.43 0.1 15 9.34 0.68 15 10.41 1.75 15 11.95 3.2916 8.44 0.11 16 9.35 0.69 16 10.43 1.77 16 12 3.3417 8.45 0.12 17 9.36 0.7 17 10.46 1.8 17 12.02 3.3618 8.46 0.13 18 9.38 0.72 18 10.48 1.82 18 12.05 3.3919 8.47 0.14 19 9.4 0.74 23 19 10.5 1.84 19 12.1 3.4420 8.48 0.15 20 9.4 0.74 23 20 10.51 1.85 30 20 12.14 3.48 4322 8.48 0.15 22 9.43 0.77 22 10.56 1.9 22 12.3 3.6424 8.48 0.15 24 9.47 0.81 24 10.59 1.93 24 12.35 3.6926 8.52 0.19 26 9.5 0.84 26 10.62 1.96 26 NM NM28 8.56 0.23 28 9.53 0.87 28 10.66 2 28 NM NM30 8.59 0.26 30 9.56 0.9 23 30 10.7 2.04 30 30 12.5 3.84 4335 8.63 0.3 35 9.65 0.99 35 10.8 2.14 35 12.7 4.0440 8.62 0.29 40 9.72 1.06 22 40 10.9 2.24 30 40 12.9 4.24 4345 8.63 0.3 45 9.8 1.14 45 11 2.34 45 13.08 4.4250 8.64 0.31 50 9.85 1.19 23 50 11.1 2.44 30 50 13.2 4.54 4355 8.66 0.33 55 9.92 1.26 55 11.2 2.54 55 13.4 4.7460 8.67 0.34 60 9.99 1.33 23 60 11.3 2.64 30 60 13.58 4.92 43
Stop Time: Stop Time: 1059 Stop Time: 1202 Stop Time: 1312
Notes: DTW = Depth to Water
gpm = gallons per minute
NM = Not measured
Date:
Static Depth to Water:
Recorded by:
90% Recovery:
Site:
Well:
Well Depth:
Form SAP-114-2
APPENDIX U – CONSTANT-RATE PUMPING TEST DATA SHEETS
51 I
CONSTANT RATE PUMPING TEST DATA- PUMPING WELL
600
660
720
780
840
2100
2160
2220
2280
2340
.··2400
2460
2s;20
2580
2640
2700
2760
2820
Date:
Recorded by:
Vl ·. ,II/ Start Time:
DTW ft.)
---
Drawdown (ft.
---
Flow (gpm
4140
4200
4260
4320
--·--,--!------!--- ---
Note: DTW = Depth to Water +--·-----+--·--------+--···----l----+---'--. -----. -
gpm = gallons pertninute
-4-------1------.\------+-----l----· ____ ..,_
2880
2940
-,-cc...;__..::__,'--+--+---'+'-...:.....:..:'.....'....'.....c...:.~-:_:_:_:-l-----1--. ~~-----!t_-_--_-_-__ · ··f-•. i'c:_:_::-+I -----l------f~---'-'t-,.:.=.-'---'+----J------f----1
1soo I 40
45
50
Form SAP~114-3
f
CONSTANT RATE PUMPING TEST DATA-OBSERVATION WELL
Date: ---------------
Well Depth: __________ _ Recorded by: __________ _ Distance from Pumping Well:· __________ _ Start Time: -----------
Time W. Level Drawdown Time I Level Drawdown Time Level Drawdown Time Level Drawdown
0.25 55 1680 3840 - - --
0.5 60 1740 3900 ----·- f----------·
0.75 70 1800 3960 -------------
1 80 1860 4020 ---- -------·
1.25~ 90 1920 I 4080
1.5 100 1980 I 4140 -----
1.75 110 2040 4200 ---- -------·
2 120 }QJaq f}' (DOI 2100 4260 -----·
2.25 150 2160 L 4320.
2.5 180 2220
2.75 210 2280 J_ I Stop Time
3 240 H4 if ~l 1 2340 ~~~=--3.25 270 2400 ~---·---
3.5 300 LL· 'l ~ > 1, 1 fs 2460 I 3.75 360 tl,OC{ l,o6i 2520
4 420 (2-~ "32- i~~?/ 2580 ----
4.25 480 2640 ,------------- ·--
4.5 540 2700 ---
4.75 600 2760
5 660 e-~+- 2820
6 720 2880
==l= ---·-·-------~ 2940 -I ·-
7 780 --
8 840 3000 . - -
9 900 3060 I ·--
10 960 3120 ·-
12 1020 3180
14 1080 3240 --
16 1140 3300
18 1200 3360 -·
20 1260 3420
25 1320 3480 ·-
30 1380 3540 c--·
35 1440 3600
40 1500 3660 ·-- -.,,
45 ID· z.t 1560 3720 ! -
50 1620 3780 I
Form SAP-114-4
CONSTANT RATE PUMPING TEST DATA- OBSERVATION WELL ' -- ·_-,£_-~,-~- •• _ -~>-- -_· ____ :;::_-__
Site: __ C_f_. ~[2_T~---
Well: 0'7 (A)Qq ---=---=---;..._ ___ _
Well Depth: __________ _ Distance from Pumping Well: __________ _
Time W. Level I Drawdown Time Level
0.25 55 I 0.5 60
Drawdown Time
1680. , I 1740
~ 0.75 70
--~·
1 80 0
I
---1920 ,,I 1.25 90
1.5 100 1980 -~·
1.75 110 2040
2 120 t'-1- ID O. IC) 2100 . I 2.25 150 2160
2.5 180 2220 I 2.75 210 2280
-------
3 240 l'-L ~ 0,'6~ 2340 --3.25 270 ,~ ~ ·/1· 2400
3.5 300 J4, 0( 0 ,40 2460 :-.
. ·-·.
ILL~{ 10 (),, 45 3·.75 360 2520
4 420 Id ,LfC D f) .4-~ 2580 . I
4.25 480 2640
4.5 540 2700 -- --~
4.75 600 2760
5 660 2820
6 720 \ 2880 -· ·--·
7 780 2940
8 840 3000 " --~·
9 900 3060
10 960 3120.
12 1020 3180 I
14 1080 3240
16 1140 33()0 .
18 1200 I .• '
>3360 .
- . ·,
. _·
20 '
1260 3420. -
25 1320 3480 ---·
30 1380 3540
35 1440 3600 --
40 1500 ! 3660 I
45 1560 3720 I 50 1620 I 3780 I
Form SAP-114-4
Recorded by: __________ _
Start Time: -----------Level Drawdown Time Level Drawdown
I 3840 --- ·-
3900 ·-
3960 ---
4020 -~
4080
4140
4200
I 4260
I
---4320
--Stop Time
--- --
-----
·--------------i----~-----
·-----·-f-------------;----
~----
·----
I
I --
, .
. --
-<--------
CONST ANT RA TE PUMPING TEST DATA - OBSERVATION WELL
Date: ---------------Well: OZ WZ5 ---=----=----=------ St at i c Water Level: _____ ,_()_···_',_o_· _S __ y_,__O_l __ _
Di::~~~~~~----------- Recorded by: __________ _
Start Time: -----------Pumping Well: __________ _
Time I W. Level Drawdown Time Level Drawdown Time L~vel Drawdown Time Level I Drawdown
0.25 55 1680 I 3840 I +- -~: -----
1740 t= I 0.5 60 3900
----- ---0.75 70
i
1800 3960 ~~ ----
1 80 IB~~~-- ~-
4020 ~· -~ -------·- ----
1.25 90
1920 1~=f 4080
1.5 100 1980 4140 ·- ·-- ----- --·--·--
1.75 110 _j_ 2040 4200 -·-------- ----r---------·---· -------
2
120 1'4- ()Q o.qs
2100 ~E 4260 -- ----- -----I--------·
2.25 150 2160 4320 . ----- ------------·--- ----
2.5 180 2220 ------------f.-·----
2.75 210 2280 . - Stop Tin:ie ----- _L_~--
---,~ 411> -~------- -- ---·----
3 240 ! (tS3 2340 +== --MO~-- ---
----
3.25 270 ~---------~-------- --f--. ----- - -·--~~~!----
3.5 300 ILJ,,;,,PJ I , <o,i, 2460 --~~--------·---------
3.75 360 llf '1'1 I, 14 2520 -
4 420 ,J, 0~ L18 2580 --
' . -
4.25 480 2640 ---·---f-- ~---- ------f------ -----
4.5 540 2700 -------- --·-------· ------- ···--
4.75 600 2760 -·---->--------
5 660 2820 -=t= -- -----,__. _____
6 720 2880 ----------· =--+--- ---- ,.
7 780 2940 I '
--~- --~-- -~
8 840 3000 -f---·
9 900 3060 --- ---
10 960 3120 ·-------· --
12· 1020 3180
14 1080 3240 -~-
16 1140 3300
18 1200 3360
20 1260 3420
25 i
1320 ~-,--34~0 1 _. __ . __ L - --- I
30 1380 ,·:1 3540+ I 35 1440 3600
---40 1500 I 3660 ,,:.·
.,,_, -,
c--· - --; .
45 I • 51 . 1560 '
3720 -· --
,'
50 1- 1620 ,: 3780 ·~,
,'.'
Form SAP-114-4
WeJI·bepth: __________ _ Recorded by: __________ _
Distance from Pumping Well: __________ _ Start Time: -----------
Time ) W. Level Drawdown Time I Level Drawdown Time Level Draw down Time I Level J Drawdown
3840 1~+-3900 I . 3960 I - ---
0.25 . 55 I
~--0._5_ ---+---------6_0~~--j--l ---~---+------+----- -----t----t---
0.75 70
1680 I --~- I
1740
1800,
4020
4080 ·-f--------.-.-·-------
4140 :=-=-=1~=·:=5·-:-:=-~--=----=~---l---~~=:=--~~---1-1-~-·~-1:0~:~~~~-~-±-_ ----l----,-----+------1--
1860
1920
1980
4200 --
4260
1. 75 110 2040 1------+---------;----------------l-------+-------+------1------- ~-·---- ------+------1------
1--2--+-------1----,-1_20 I 5, Cf () , / q 1 __ 2_1.0_0-+--_ -----~------1---..,..-----+-.,--------+-----
2.25 150 2160 4320 1------+--------+-------t--------,----+-------1-----l-------+---------------------+------------i
2.5 180 2220 i------~--------t-------1----r-------+----------1-----+-------+-------1------<-------~-------·--•
2.75 210 2280 Stop Time -----~--------------t------;--------+-----.;...._---1----- ,_.._-~--- ---------11---------+--·----.--------~
240 /(p 00 (7 8 :q 2340 ------r--------- ---------1-----l-----'---'------''-+----V'--------"----l----+-----+---·----f-----t-----~-------
3
3.25 270 2400
1-----3_~~=--55~~-------~-+-+---------------!---~:~ ~l=~.fJ .'11 ___ ~-CJ--~-=-~----<:~_~_,__~-_.--"'-~--+---222~::-24680000--f _____ =f~:~--~-~--~-~-~-=~~-=----~-~~~--~~-=-a·-+---f.---c-; .. ---~--:_-----~-----I
-~-------- -----1-------42_0 _: __ luJ L, I} • ;/'fi _ _ 4.25 -----------~~- . ---+-------~----
,_~_-44;5 --::~+t----_-_-_---_------:::--~-=+=-----· -+--e----------+------------~:_-_-~~~ -~--------- * ±--2880 -~-----~-
2940 --- -- . --+--------l
3000 ------t--------+------~--------+---+--------- ------ ---+-----~
. 3060
6 720 1----·
7 780 I---·,
"" 8 840 -----
9 900
10 960 3120 1--------~-----
12 1020 3180 ----- -----+---------+----+-----+------1-----+-----+-------1------a---"--------
14 1080 3240 ------J-------+----+l ___________ t--'----t------+--------1----f------!-----1
16 1140 3300 ~-
18 1200 -
·20 1260
25 · 1320 -,----- . --
30 1380
-----l-------+---~ .. c--+------~i-c------+-------·-----t------+--·-------i
::~ --+-----+-------+------+-----+------+----"----,--.,.-':--'-"-::~ j . ·'-'-----------+-I -----1---- i · ---- -- --=
35 1440. 360q
40 1500 3660 ------+------1----------+--------1------ ------------
45 : 5, ~2. 1560 3720
50 1620 · 3780 ,·
Form SAP~1.14-4
CONSTANT RATE.PUMPING TEST DATA - OBSERVATION WELL
Site: &tzT ____ ...;.__.;_ ____ _ Well: _ __,__\ 4-"-'' 0'-4-1'------
Well Depth: __________ _ Distance from Pumping Well: __________ _
Time I W. Level Drawdown Time Level I I
0.25 55 -----
0.5 60
0.75 70
1 80 €,
1.25 90
1.5 ~
100
1.75· 110 I --f--------~-
2 120
2.25 150
2.5 180
Drawdown Time
1680 ---·
1740
1800
1860
1920
1980
2040
2100
2160
2220
Level
I
Recorded by=----------'---
Start Time: ---------------'-'-'""
Drawdown Time Level I Drawdown I 3840
I I I -----~ I
3900
3960
t--1 4020 +-~~ 4080
I 4140 ·--·
4200
4260 ·-
4320 /7.i? ~ 0, ~I~ -------
2.75 210 t 2280 Stop Time
-----~-----------.
I ' ',
3 -240 --ri,v2._T~1'c; 2340
3.25 270 2400 -~ --
-,1),~ --
Li 3.5 300 2460
3.75 360 V~ter9 1~ (;? 2520 --
',,.,, 4-b) ; f ,,
--
4 420 2580 . ~-
4.25 480 2640 ·,
----~ '----~ - --~---· ----.. 4.5 540 2700
--~------
4.75 600 2760 --.---------
5 660 - 2820 f---· •: --------
I
_..........,__ _____ 6 720 2880
~- -· ---f---
I -~
7/ 780 2940 f --"- I
al 840 3000 L ~-' /
9 900 · .. 3060 '.·1/fl / -~· "-· _,
10 960 3120 ' ~-
12 1020 3180 ) -._ -.
14 1080 3240 J i
.. · .
.· f---• -~
16 1140 3300
I 18 1200 3360 r-< I I ' I
-
20 1260 3420
25 1320 3480 r I
30 1380 3540[ .·,. . ·.·· .
35 1440 3600 .' ---L
40. 1500 3660 ·-·.·,.
.:1 45 1560 3720
I -----
I 50 162() 3780 .. . -
Form SAP-11.44
CONSTANT RATE PUMPING Tl=S.T DATA-OBSERVATION WELL
Site: ___ e,'-'f;:......a.,-~~T-----Well: _ __._(_lj-"--0 _5 ___ _
Well Depth: Distance from------------
Recorded by: ___________ _
Pm:nping Well: ___________ _ Start Time: ------------
Time W. Level Drawdown Time Lever I Drawdown Time I Level Drawdown Time Level Drawdown
0.25 55 L-4 1680 I ! 3840 !-,----~--~· -J--~---l--
0.5 60 ~t:-=~ I
3900 ----~
0.75 70 1800 I 3960 1860 1 _I ____ --
1 80 4020 -------· :
1.25 90 192H I '4080 ~ -+
··-- ------f--·
1.5 100 1980 4140
-:~:~ t- ·-+ ~--- ·-1.75 110 4200
120 1z.e2 L_L~->---·---
2 4260 ------~- .. }t~-~_J_ 2.25
150 I =r~~ 2160 4320 ~-----iiH- ~----- -·----2.5 0 2220
2.75 210 2280! ____
Stop Time ---
3 240 P,f, 2. f I ?l 2340 I --
3.25 270 2400 -· - ·-- I
·-
·3.5 300 2460 -· __ .,___ -- I
3.75 360 2520 --------
4 420 2580 --1---·--·- ----·- I
4.25 480 2640 I t -· --'-·--·--~·
I 4.5 540 2700 ------f--
I
f---
4.75 600 2760 --
5 660 2820 ----- ---· ·--
6 I 720 2880 I ---- ·-- ---
7 780 2940 ·-
8 840 3000 --- ----- -----
9 900 3060 ·--I--·------
10 960 3120 --f----------- ~-
12 1020 3180 ---------~ ~· --~·--
14 1080 -f- 3240 - --
16 1140 3300
18' 1200 3360
20 1260 3420 __ ! ____ ,_ -----
25 1320 3480 --
30 1380 3540 . ·-I----·
=--± 35 1440 3600 - --
40 1500 I· 3660
1 '!LrfZ. (J, 14- I --~· . --
45. 1560 I 3.720
50 !
1620 I I 378,0 I
Form SAP-114-4
CONSTANT RATE PUMPING TEST DATA· OBSERVATION WELL
Site: _ __;:C::;__af:: ....... .e:_¥2-_T..L..-___ _
Well: ___ l __ 4....::;..D..-le'-------Well Depth: __________ _ Recorded by: __________ _
Distance from Pumping Well: __________ _ Start Time: -----------
Time W. Level Drawdown Time Level Drawdown Time Level Drawdown Time Level j Drawdown
f----:--:-~--:---+-~-=--=--=------=~~---_ ----·=~-11-l--J~--------=_=:=.~:-~~=-i~-i-~s-i=-=·-:1 __ ==··:-= .. =--=-~_-~::_-=--=---~-=:~=-:-3·~1=.-/-j::_-+-~I--=--~--=~-_l_ +-.... 1 __ =_=-~ -=--~-~-" 1.25 I 90 i---+---- __________ ....
1
---+---------- ____ 4_0_8_0--+-----+-------
1---1_.5 ____ q _____ --t-_1_0_0---4 ___ ~,--------ll-------+-l ___________ 4_1 __ 4o _________ L_ 1.15 110 I · 4200
__ 2 ______ ---+------+£~----=--=--''~~--=--=-,-=-1=l}-=+:-_-~_ ---+--+----=---------- -=-~-~--------_-4·2=6_-o _ __,_---+_-_-_ -_ -+-+ -_-_ -_ -_ -~~-__.
·-2-~-~55 ________ ,___ ______ 1_8_0 ____ ,.. ________ -+-----------__ , ____ _,_ ____ --__ _,_--=·==--------4-3-20 __ ._ ±-=±~- ·-
1920
1980
2040
2100
2160
2220
2.75 210 2280 Stop Time
2340 --
~--3-, ______ -------i,_______24_0 ::,1=· =,a:==14)=:,,=,c: _--+--1-----+-----+-------------l-------~---
3.25 210 2400 -··
2460. 3.5 300 I ----+.------------t----------1---------l------1--------l-------+---------;-------+-----+-----I
3.75 360 2520 ~-----1--------+--------f------+----+--------l-----l-----+------f----------l-----!--------
4 420 2580 --+---------<-------•-----+---+-----------1-----1--------1----------l--------t-----+--------<
4.25 480 2640 ----
4.5 ----
4.75 f-
5
_____ _,____ ___ ____,_ __ ___,__ _____ l------+-----1--------- -----------+-----------
540 I I
600 II
660 I
2700
2760 --
2820
6 720 I -----------
2880 --t----
--'------
7 780 2940 ----+------+---------- ----- ----+--------1-----------+-----+----------~-------+------al---------
8 840 3000
9
10
12 ~------
-- r----------3060
3120 I - I I
3180 I ----·-----1--1-;-2:--l---------+----------1-----+--------+----_~_-==±~--· -~~~ 14 1080 3240
---+-----t--~----t---------+---------+----------- ------+-----+-----+---·---+------I
16 1140 3300
18 1200 3360 ~-
20
25
1260
1320 3420 ~----+------1------+------+--------1
3480 I i -------
30
35
40
45 It YLI 50
1380
1440
1500 I n. £pl 1560 =f 1620
--1---------+------1------l--------+---·--l----::_:_:--!_=t=-------;----+------+------I _______ _.__3_6_6o_ I _
3720_~ I
3780 I
Form SAP-114-4
CONSTANT RATE PUMPING TEST DATA- OBSERVATION WELL
Site: __ C_E,"'-. · ...... f2_r ____ _ Well: C:r E;,R, ~ KA J- fv1 WO~
Di=~l!~~~~-----------Recorded by: __________ _
Pumping Well: __________ _ Start Time: -----------Time W. Level Drawdown Time Level f Drawdown Time J Level Drawdown Time Level f Drawdown
-:2: -- --~,:: ·-- -~~~- :::: l __ =l --~ o.;s :~ ' _;:;___ - i . ~~-t~_ ---~s -------==- 19:o :::: ~±- :~~i ~1= . -
-~~i:---~ -=--~=-=~-::~l&~G~ d. ,q~ ~:~~t ---: --_-- :::: . J=- --~ - ~I~=~- -=---=~=~~ ::: :- ? .~4 - :::: =--=~±=--=- s~p~t- =-~-=-- ~ -~:f~-~_;;;_ · ::: }1~~ ;t~~ -·Iill-i-=-*=-~=-~--±1 ___ --~ •·--22-=~=-~- ... ·-==-~ ::~ ----·-===--==--~::~-=-±=----- ~--t~~t--~
5 _}'~-+- ---- --------- --~~~--+ --- _ _1_ =r~-----6 ----- --~~-e-- -·-·- 288~ -~--- _ ·-- ______ [ _
7 780 ~------ _____ · 294~ _______ L _______ _ -8 840 3000 L
12 1020 --~---------~-"--------~----1----+------
. 14 ··,-; 1080 _16_____ --..- 1140 I 3300
~-
18 1200 3360 -~ I -----~--
, :::: t----=-· -1-:_:_: __ :--+---+------t-----t---+-------1
20
25
30- .- 1380 3540
35 i/
1440 3600
40 1500 3660 -
·--. --
45 1560 3720
50 1620 I 3780
Form SAP-114-4
CONSTANT RATE PUMPING TEST DATA- OBSERVATION WELL
Site: CffT Well: Grfft{2,-8ftf .~ MWO&
Well Depth: Distance from _________ _ Recorded by: _________ _
Pumping Well: __________ _ Start Time: -----------
Time j W. Level I Drawdown Time I Level I Drawdown Time I Level I Drawdown Time Level I Drawdown
_o.2s_J_____ 5~-4-------- ·-· 1680 i I 3840 J ______ _ -0°};-- -------------:~+------- ---:::~-1~·· 1 ·--- :::: -----------____ 1___ __ sor-----~--------~-- I 4020 --------
.. 1~ -- -- 90 r ~- ·---~-----~~~-~-------~' --- _-_-_-_ ---ti--4_o_ao_-_-_-+--------+------·----
/;5 -~-~- :~~+ _r - ::;i __ +---- :::~1 ~l- -:·--2- 12dfz.O& Li~'L _3_10-o__l~·-·- 4260 I . L----
~-=E{~= - +~~=~r---~~2±~ t=- ~= St;~1- ... - I ----- --
---~---- 240 24, cs 1 1*--- 234~~t:=f--~-~-= ~--- I ----3.25 270 2400 I -+- L I
.. :.:s I ::~ ··; • , q~i~F~~~~ r----1---------- ! . _=r-----4:s .. ~----- -~~cr-:R~~~~--~ ~~c~-~ ... · ~t--·->------·----~~------~·-·---2
~-T·-·· --==~1=.1 -~: =:·~·-- -·- ::~ .. --- I --~+-~~=t-==~=~i~= I --~
- 1
9
0 ~.. . ::~ =+-- ·---:~:~ -1 ! ----
=~f ~t .. ~:1t~-~- :::~ i ·. t · -----+----------
18 1200 r -i-=~---3360 I !-------------+-----+-----~
-;;--- -::;~1-- ·t-·--~-1-¥----30 1380 --~---- . 3540 ; ---- -------+----+-------1--------
-~---~----r-----· -----~----\ - -----!----+------i---~-----
35 1440 3600 I
=-~--=~-----,---- ·-· ::~: I =~~---- ;~ I ----t-----------+-----1--·--so
1 1620 I · 3780 I f i I
Form SAP-114-4
CONSTANT RATE PUMPING TEST DATA-OBSERVATION WELL
Date: ---------------
Well Depth: __________ _ Recorded by: __________ _ Distance from Pumping Well: __________ _ Start Time: -----------
Time W. Level Drawdown Time I Level I Drawdown Time j Level Drawdown Time I Level Drawdown
__ o_.2s_J__ ______________ ss_· ___ 1
1
___ -i--_ 1680 I : 3840 ~ =t= 0.5
1
60 i-----,....-----+----------
0.75 70 ----------r-------- -·------+-----
1 80
-us---·-=------- go 1920 I -- _ 4080 __ ___ --------~~- --~-- ::::- --+-----~--------2 ·-----e- 120 ,, 4 . i & --iwo- - J_ ---e-- 4260 i __
_ 22~: __ --- - --~~-·------ _ :::~ t_~--- ----4320 ±_ __ _= 2.75 210 2280 __j Stop Time ~::-·-- -
1 --~-- ---- ::~ 12.4-.. h 1. fa :::~ - -- ---- ___ -_ .•.• -=~~r~ _- =:
:
3y~-~=~- ·- --- -::~ i~], l~l ~::~ ~==--· -~-~=~-=i ~_ 4.25 480 2640
4.51 ·----=--=540 ~-··--->-- 2700 -=-- _______ · _____ t1= ·~···· _4~ -- --------- ::~ -------------·· ~::~ . • - -· --- -·- ----
6 720 2880
- 1:0 -- _- ~~~ -- --- -~ ~~~~ --- ->~-=t=== -~: ----~---=3~t=-· ~~~~~--:__ -- --------1 ---+--=--16 1140 __ ___ _J 3300 ----t-----·--+-----~--------1
18 1200 =±-_------+-3_3_60_+------+---------l·----l-------+-------
20 1260 3420 + ·~ ----~--f-------- -----+--------+-- ---
0----:-:---+--------+--------i--::-~-t-----=i=-·- J:;L ______ -+-------1--------------. ________ :_
--4 __ o __ ~---~------ 1500 I 1· _____ 3~aa_o ________________ _,_ __ -+------- ______ _
45 1sso L _ 3720 c-5-0-+----------------- - 1620 I _ I____ --- -3-78-0------+-----+-------f------·
Form SAP-114-4
\ CONSTANT RATE PUMPING TEST DATA - OBSERVATION WELL
- - - ·,
Well Depth: ___________ _ Recorded by: __________ _
Distance from Pumping Well: ___________ _ Start Time: ------------
Time I W. Level I Drawdown Time Level I Drawdown Time Level I Drawdown Time Level I Drawdown I
0.25 ' 55 1680 38~ -
.0.5 60 1740 3900 J_ ____ ~ t------
0.75 70 1800· 3960 ----
1 80 1860 4020 --
1.25 90 1920 4080 --------~
1.5 100 1980 4140 i-------
,...... _______ --------1.75 110 2040 4200
f----------~--·-- ---------·-~-- - ---------
2 120 Cf-~8 _[J__~j-~ 2100 4260 -----· --
2.25 150 2~:~1 4320 ----·- ----f---.
--- . ____ ~-----
___ L __ r __ ~ 2.5 180 2220 - ------------- ------ ----------
2:75 210 2280 l Stop Time!-~-~------- --~- --
e-() t ;·~-
---·--- ----f---
3 240 q,, 2340
3.25 270 2400 ~- ---- --------r--- f-,----------- -----t~ 3.5 300
J.!jq ,,, I (o tl} 2460
1--- --~- --f.-----~ -------I----- -- -f---·----
3.75 360 0 , iii 2520 1---·
4 420 IC /7q 0,11 2580
4.25 · 480 2640 t-----1------------ ·-----~ --·-
4.5 540 2700 -->-------- ---- --1--------------
4.75 . 600 2760
~=t--r-T 660 2820 I · 120 I
------------
2880
- 8 ~--_+-_wT ____ ~------ -·-~i----780 2940
840 3000 I ---------~--
9 900 3060 . -- I --·-
10 960 3120 I
---.------·-.....-,-· ___ _l ____ 12 1020 3180 --·--f----.---~--, ------- ---·-~
I 14 1080 3240 ---1-.. ----I
---~-
I 16 1140 3300 ·,; .,
•y-, .
I I 18 1200 3360
20 1260 3420 I 25 1320 3480 I I I 30 . 1380 3540
. ---~
35 1440 3600 ·-
40 1500 3660 ·- ------ -- ----;-----
45 q 1560 3720
I I
---
50 1620 i 3780
Form SAP-114-4
CONSTANT RATE PUMPING TEST DATA - OBSERVATJON_WELL
Well Depth: __________ _ Distance from
Recorded by: ________ ,...._._ __
Pumping Well: __________ _ Start Time: -------------,. Time W. Level j Drawdown Time Level Drawdown Time I Level Drawdown Time Level Drawdown
~·~I=' ss ___ l j= 1680 -t 3840 ------ . -----c-- -
0.5 . -~;- L~-- ----.-- 1740 I 3900 _L __ = 1--- --~·
0.75 1800 3960
1 80± ± 1860 I 4020
90 j .. ___ T ___ J__
1.25 1920 =t= 4080 I 100 --1 -- ---·------ --
1.5 1980 4140
2040 L---- ·--·
1.75 110 · 4200 . ·- .. --·-------'------ -~
2 120 l~t2._ 2100 -:-f 4260 ~160--e- ' .
--
2.25 150 · 4320 --~ ----
2.5 180 2220
2280 I ~ · -----
2.75 210 Stop Time -·
8 2340 I --.-
3 240 (!D,{6 t) f -- --
3.25 270 2400 . ·
1/1 t ·7~" 0 I ff --
3.5 300. 2460 ---1---
i~. ~ '~ () 9 4 J)
- -~
3.75 360 2520
~ .-'{ 1 4 ---· -~
4 420 0 (f ·2580
' 4.25 480 2640 I - ·--
I 4.5 540 2700 ----- ·-'-
4.75 600 2760 . --
5' 660 2820 --~---· ·-~----------- -·
6. 720 2880 . --
7 78.0 2940 - ·-
8· 840 3000 --~-
9 900 ·, · 3060 -·
10 960 3120 . ·--
12 1020 3180 --~--
I
·-
14 1080 3240 ., ..
· .. ,,
16 1140 '·
3300 .:
.-
~~---· _ _:__ 18 1200 ' ·3350 I
20 1260 3420
25 1320 I
3480 ·. I• .
30 1380 3540 '
f--- j
I 35 1440 3600.
40 1500 ... 3660_ / I. c--·
.· ... 3'72o_L+ 45 '' .Llfu
1560 I 50 1620 -· · 37ao I _-.
I
Form SAP-114-4
CONSTANT RATE PUMPING TEST DATA - OBSERVATION WELL
Well Depth: Distance from ___________ _ Recorded by: __________ _
Pumping Well: ___________ _ _Start Time: ___________ _
Time W. Level Drawdown Time Level Drawdown Time I Level Drawdowri Time Level Drawdown
0.25
0.5
0.75
1
1.25
1.5
1.75 >-·
2
2.25 ~-
2.5 f---
2.75 --------·
55 ~= 1680 I 384 __ 0 _____ LI -------
-------1----------------t-----:-:~-------_-_- - -----~-:-::-+------====~----·--::-~:. - I ------,-------+--------/--1-------f------- I ------l------+-----------------+--------f----t---80---I-__ __J1_ _ ~L--~------·---40_20--+-----+-------
90 ~- I 4080 ____________ __,_ __ 10_0_ 1-- J_ ~ 1980 1 ----i---+---4-1-40-t--------------
-------+------~-;:-1 i ---- ---:-~·:-:-,,__, --_L_----t------=lk~t---------+---t:--· ::~ _ 1~~ :-~~:-~_L I _ 432~ -------
---------i---'-------+--2_1_0 _____ ~------+------ __ , __ 22_8_0 __ , ______________ Stop T_im_e-+---- _____ _
3 240 f c..L ~z f, ~,_Jr~_.. _, __ 2_3 __ 40--+---l----------l------------s-------
3.25- l - 270 3.5 ---T- --------3-0--0--+--~l!:/-__ -
1
Ll--q-_-1
.--10-0-i----~-----t----+-------·----------f--------__ -_-_
3.7s ~----= 360 IL . tpq J t~~~----t---~-----------+-----t----
4 420 j l. r, I I ' q I
2400
2460 I I +-- -2520 I
_,
2580 --- --c----+-------+-------+---------------
4.25 480 2640 - --
4.5 540 2700 ~-
4.75 600 2760 1---
5
6 -
7
8
-----+-----+------ -----1-------------+-------1----+------+-------+---·---+-------f--------1
2820 I
---,----+--------+------1-----+---=-i- -----:::----1::~~--·---------t-----+----------+--,--------~-, 660
720
780
840
9
10
I 3060 ----+------i-----1----r---------1------+---3-12-0--+--------+---------------+------;-,---------I
---+--i-----;-----i--------t---l-----s--------------1------1-------+------+--
900
960
,.
'
' . --
: ', '
12 1020 3180 ------------------I--· --
14 1080 3240 -~ ----
,_
16 1140 3300 -
-
18 3360 1200 ·. '
20 3420 I
.1260 __ :
25 f--------- --
30 .
'._
3480 I '·
I '
3540·
1320
1380
.·
----
35 1440 3600 _L
40 ',·:
3660 1500 I _-
-
45 .1~.z; 1560 \ 3720 - --
50 I I 3780 1620 -.
: . .. -
Form SAP-114-4
.WELL RECOVERY DATA
Site: __ C_(_~_/ .... ~_?_._T ____ _
Well: Cr/:T/2.-ff/J / - Ol (3 Well Depth: __________ _
Distance from Pumping Well: __________ _
Time
15
30
105
120
270
300
420
600
660
720
Water Level
BP
·-------+----------- --------1
780 -------1--------1---
840
900
960
Form SAP-114-5
Time Water BP Level
1020 t L 1080 - I
-1140L_ l==~ 120:1 . I -- ---F--1260
-- ----- -1320 ·
1380
1440 ---~--t· ·= · __ -l-------+----
1500 I ---
-~ 56~------- -·-
-~-~-+---------'I
1620 ,-------+---
::::+--. 1800 I ------
______ J_ __ --
1860 I ------ l -----t------1
1920 I 1980
2040
2100
2160 l--~- -_ . 2220- I
2280 - ---1---
2340 I - __ ___J__
2400 I ~t1 --;-4-;o_t_ --
Time Water BP Level
2520
2580 -{--~ 1--
2640 ----------~i- --2700
-------
2760 ~-
2820 <-------- ---
2880 <----- -
2940
3000 ------~ --
3060 -----~-
3120 ~
3180
3240 ------- ------
3300
3360 ------
3420
-3~80~± --
--
9540
3600 I
- --
3660
3720 --.
3780
3840 --
3900
3960
Site:
Well:
Well Depth:
Distance from Pumping Well:
Form SAP-114-5_
WELL RECOVERY DATA
Static Water Level:
Recorded by:
Pump Shut" Down Time:
WELL RECOVERY DATA
Site: ----------- Date:-""'--'/ /1::-_,.._2_7_·-_/_'7-=----
Well: 0 Z l{) O°( Static Water Level: -----------Well Depth: __________ _ Recorded by: __ Jt=--l;y;---'da::;;.....;;..;:..;.lf\.. ___ ....;.lv(---'C:......
1
=k)......._P1.-
Distance from Pump Shut-Pumping Well: __________ _ Down Time:
Time Water j BP Level
15
30
45
60
75'
90
105 ----·+----------+----
120
240
270 r~J=-~ . -- ·-- --
300 ~.
360
420 /Lf. ~-Ufl---, 6--+[6_---J
540 { ~ (p
600 ·
660 I __,_____________L__ 720
780
840
900
960
Form SAP-114-5
Time [ ~:~=~ I BP
-·------~ --10201=±, 1080 ·
----~ --- --
1140
1200
_1~-------1----------1
1320 J_ '--~~- I ---±--!--. --·-
~ ::: I ·--------c---···---1-------
1560
1620 1----------+-----+--·--
t---16_8_0__,~--__L~
= :::: ± _______ ~ 1860
1920 ------~------------
1980
2040 - ---+-------------
2100 I
2160
2220
2280 c.....·
2340 -
2400 I-
2460
-----------
Time Water
BP Level
2520
2580
2640
2700 L--------- l --- --
2760
2820 ·----·--
2880 --~-----
2940 --
3000 _____ c. --
3060 ------ L-----
312_0
3180 --
3240 ~----·--------
3300 -· ·-
3360
3420 I
3480
3540
3600
3660 '
-cc 3720
~
3780 .·
3840
3900
3960
WELL RECOVERY DATA
Site: Date: ----------- -----------Static Water Level: -----------
Well Depth: __________ _ Recorded by: __________ _
Distance from Pump Shut-Pumping Well: __________ _ Down Time:
Time
15
30
45
60
75
90
105
120
600
660
720
780
840
900
960
Water Level
Form SAP-114-5
BP Time
1020
1080
1140
1200
1260
1320
1380
1440
1500
1560
1620
1680
1740
Water '. Level
1800 I i
BP
. 1860! : ..
--·· -·· -+-------l -- --·· 1920
1980
2040
2100 ;~o -- i - ·---- -r- ---·-
1 ! ·-··---! ---· -··1·····-·. --··
2220 I
2280 1 · - i - -~ 2340 ! I
2400
2460·
-----------
Time
2520
2580
2640
2700
2760
2820 I
2880
2940
3000
3060
3120
3180
3240
3300
3360
3420
3480
Water Level
.. 3540 -·· J_ ·----3600 I
I
BP
-··----[ ·--···-··----·· -·-· ---- .
3660 I ---· ··----!--··---·-- -···-·- --·-
3720 I --···--·---·i-. -- ·-- +---
3780 I I -------·-- ·-·-- ·_·-. t -
3840 I 3900 i .. · l 39601- -t····-
1 • I .·
Site: ---------- Date: ----------Static Water Level: ------------'-
Well Depth: _________ _ Recorded by: _________ _
Distance from Pump Shut-Pumping Well: _________ _ Down Time:
Time
15
Water Level
/ft;,, VJ
BP
30 -'---'--/~-- ---
45
60 ------,----+--
75
90
105
120
150
180
210
600
660
780
840
900
960 -·- I------
1
Form SAP-114-5
T" · 1 Water 1· BP ,me Level ·
1020 I I ___ _L_______ I -··-·--
1080 I _L __ _ 1140 I I --·- J__ _______ J___ •, ---~---+--
1260 I I -----r-------·--:r-·-------· 13w J I
138~ 1_· 1 . ~~-~r --~ ----- -- .
1500 . ---- -.--·--+-··-
1560 I --t- .. 1620
1680 .
1740
· 1800 -----
1860 /
1980
2040
. 2100
2160,
2220
228()
· 2340
----------Time
Water Level
BP
:::: I~±~----. 2640 ___J
j___ ,---·
2700 _____ l ____ _
____ 276~-- -- -l--2820
2880
2940
3480
~40 __ . j_-'----'----+-------1 _ ascio f-+-. 3660
-----t-i
l 3960 ---t---·
Well Depth:
Distance from Pumping Well:
Form SAP"'114-5
WELL RECOVERY DATA
Date:
·t. · r· Level: staticWa e
Recorded by:
Pump ShutDown Time:
WELL RECOVERY DATA
Site: ----------- bate: ------'-------Static Water Level: -----------
Well Depth: __________ _ Recorded by: __________ _
Distance from Pump Shut-Pumping Well: __________ _ Down Time:
Time Water Level
BP
15
30
45
60
75
90
105
120
150
180
210
240
270
300
360
420
480
540
600
660
720
780
840
900
960
Form SAP-114-5
Time Water I BP Level 1 -~ti=-l----1080 I
------- -------1 --------
1140 L _ _L 1200 l I
I : ------
~6~-+----------'I ___ _ 1320
- -----
1380 ---
1440 -
I
··---------
1500 ---
I 1560 ~
1620 1-- • ----
1680 J __ 1740
>-----
1800 --
1860 -,~ 1920
I --
1;~ 1----------
2040 --- -------
2100 I
2160
2220
2280
-234~
2400 -1 -
I 2460
-----------
Time Water
BP Level
__ 2520 I
~tt:~~= --
0 -----
2700 -------
2760 ---- ·-
2820
2880 -- ----· --+-~-2940 ----
3000 =1~----3060 1---------- ·-
3120 ----1----- -----
3180
3240
3300 -----------~----
3360 I --·
3420
3480
3540
3600
3660
3720
3780
3840
3900 --
3960
WELL RECOVERY DATA
. Site: Date:
Static Water Level: -----------Well Depth: __________ _ Recorded by: __________ _
Distance from Pump Shut-Pumping Well: __________ _ Down Time: -----------
Time I Water BP Level I
Time Water Level
BP Time I Water BP
Level
15 1020 2520 ----- --
30 1080 2580 - ----
45 1140 2640 -~
60 1200 2700
1260 L ·- 1~_- --1320 -~~·~--
2760
2820 ~-
1380 - ---
1440
1500
105
120
150
2880
=1~~--·--2940 - --
3000 1------~-
180 1560 3060 -- ----
210 1620 3120
· 16:B --
1740 ~-
---
240
270 ----
--
3180
3240
1800
1860 ~-~+-------
1920
300
360
420
3300 --
3360 --
3420 ----~-~-~--·-f--------- ------
480 1980. 3480
540 2040 I c---+ 3540
600 2100 3600
660 2160 3660
720 2220 3720
780 2280 3780 -
2340 --
2400 -
2460 ;1,:
840 ---t 900
960 T-
3840
3900 ·------
3960
\'/I
Form SAP-114-5
. .
WELL R.ECOVERY DATA
Site: Date: ----------- -----------Well: f 4 () (o ____ .....__ _____ _ Static Water Level: -----------
Well Depth: __________ _ Recorded by: __________ _
Distance from Pump Shut-Pumping Well: __________ _ Down Time:
Time
15
45
90
105
120
150
300
360
420
480
540
600
660
720
780
840
900
960
Water Level
Form SAP-114-5
BP T I Water ' BP ,me Level
------+-----+--------I
2340 ! 1------+-----__L ____ _
2400 I --+--·---L
2460 j I
-----------
Time Water I BP Level
~~ I ---- -----
-~:::: [- ~-~
~:~-t- . _=:=== :::: i----,_............·----~-r--~ ----3000 I
----+----·---!
3060 . j
3120
3180
3240
=1~~~ 3300
3360
3420 I ---
..
3480 - ·---·----
-3540 ·-
3600
3660 -·
3720 I ·-
3780
3840 I __ . ___J ---r------
3900 t ------ ---:--.----
3960 I
·.·WELL RECOVERY DATA.
Date: -----------Static Water Level: -----------
Well Depth: __________ _ Recorded by: __________ _
Distance from Pump Shut-Pumping Well: __________ _ Down Time:
Time
15
30
45
60
75
90
105
120
150
180
210
240
270
300
360
420
480
540
600
660
720
780
840
900
960
I Water Level
Form SAP-114-5
BP Time
1020
.I
I Water 1
Level
~080 ·- I
BP
------~--+= 1140
1200
:::: I ~+- ---1380 ·--· I.
~·------·---+----1440 I -----~·-- .--r-------1500
1560
1620
1680
1740
1800 -~----1-------tl ______ _
I 1860 -----!-----+----~
1920
1980 ------+---·----·----
2040
2100
2160
2220 I 2280
2340
2400
2460
-----------
Time Water BP Level
2520 -
-·--2580
2640 ·-------
2700 ·-
2760
2820
I ·-~·---·----
2880 I
-------
2940
3000 --
3060 ·-
3120 ~·--· -~
3180
3240
3300
3360 ·-
3420
3480
3540 ----~
3(l00
3660 ----
3720 I 3780 L. 3840 I ·-
--
3900
3960
WELL RECOVERY DATA
Well Depth: __________ _
Distance from Pumping Well:-_________ _
Time
600
660
720
780
840
900
960
Water Level
Form SAP-114-5
BP Time· I I
1020
1080
1140
1200 -----~----
1260
1320
1380
1440
1500
1560
1620 -~--
1680
1740 -
1800
1860
1920
1980 ----~~~-
2040 -----------1----
2100 ------·----
2160
2220 ~
2280
2340
Date: -----------Static Water Level: -----------
Recorded by: __________ _
·pump Shut-Down Time: _ ____ _..:... ____ _
Water BP
Level Time
Water BP
Level
2520
2580 --
2640
2700
2760
2820
2880
2940
3000
3060
----- ----
------~-
----.------
3360 ~-·---- --------
3420
3480
----
WELL RECOVERY DATA
Site: _________ _ Date: -----------Static Water Level: -----------
Well Depth: __________ _ Recorded by: __________ _
Distance from Pump Shut-Pumping Well: __________ _ Down Time: -----------
Time Water
1 BP ' Level
Time Water
BP Level
Time Water
BP Level
15 I I
30
45
- 60 __ 1---____
75
~~:~~ ---1---+ :::: =+= 1---------1...--.--
1260
2520 --
2580 -- '---
2640
-- 2700 l --
I
2760 f------
_ 90 1320 2820 ------ ------------
105 C[i~/o 1380 ----~----- --
2880 ~-- --
120 -' 1440 2940 --~~-- --------- --
150 " ____ ,___
180 1- i~:t-----I--
0 --
3000 ,_______ ---1-----~
3060
21.0, l~.90 240 q/-tV
. I 270 qtq()
1620 I 1--------r-
1680
1740 ~-= 3120
~------ ----,_____ ___ 3180
3240 --
-300 q,qo t-------
360 qt~~ '-----·
420
1800
1860 ·±----
1920 I
3300
3360
3420 -- ------~ .
480 1980 3480 --
540 qJ~( 2040 3540
600 2100 3600 ---.___:___
· 660 2160 3660 --
720 2220 3720 --
780 0 1, 2280 3780
840
1.-~-
I - 2340 I . 3840 I
900 2400- 3900
960 I 2460 3960
Form SAP-114-5
WELL RECOVERY DATA
Site: Date: ----------Well: :r M uJ ~oq Static Water Level: -----------
Well Depth: __________ _ Recorded by: __________ _
Distance from Pump Shut-Pumping Well: __________ _ Down Time: -----------
T. Water I BP 1me I Level Time
Water BP Time
Water I BP Level I
15
30 ----
45
60
75
90
105
120
150
180
210
240
270
600
660
720
780
840
900
960
Form SAP-114-5
---
-----~
.
---
1560
1620
1680 -
1740 f-·
1800
1860
1920
~1980 1. 2040 I
I
2100
2160
2220
2280 ~
I 2340 I -2400
2460
I
2520
2580 f--·-~f 2640 ~·--
2700
/
2760
2820
2880
2940
3000 --------~·
3060 --. --- -
3120
3180 I
3240
3300 --
3360 --
3420
3480 --
3540
3600
3660 f--·---··
3720 --
3780
3840
3900
·1 --
3960
APPENDIX V – TRANSDUCER DATA LOG (AVAILABLE UPON REQUEST)
APPENDIX W – CONSTANT-RATE PUMPING TEST FIELD NOTES