Laserfiche WebLink
UNITED STATES ENVIRONMENTAL PROTECTION AGENCY Form Approved <br /> A WASHINGTON,DC 20460 Oros coo. 2040-0042 <br /> Approval expires 9-30-91 <br /> �E � INJECTION WELL MONITORING REPORT <br /> YEAR MONTH -MONTH MONTH <br /> .ection Pressure(PSI) <br /> 1.Minimum <br /> - 2.Average <br /> 3.Maximum _ <br /> Injection Rate(Gal/Min) <br /> 1.Minimum <br /> 2.Average <br /> 3.Maximum <br /> Annular Pressure(PSI) <br /> 1.Minimum <br /> 2.Average <br /> 3.Maximum <br /> Injection Volume(Gal) <br /> 1.Monthly Total <br /> )2.Yearly Cumulative <br /> amperature(F°) <br /> 1.Minimum <br /> 2.Average <br /> 3.Maximum <br /> pH <br /> 1.Minimum <br /> 2.Average <br /> 3.Maximum ` <br /> Other <br /> Name and Address of Permittee Permit Number <br /> Name and Official Title(P/ease type or print) Signature Date Signed <br />