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<br />.w-~ .. <br />:~ <br />.. <br />-_ . <br />COLORADO DEPARTMENT OF HEALTH <br />Water Quality Control Division <br />(Sample Collected by MLRD) <br />.~~ <br />Water Lab No. ~ 3 ~ 8~ <br />(From Water Qua Data Sheet <br />ENFORCEMENT MONITORING FACT SHEET <br />1. Name of Company:)~~~,,,~E~ly)f::, ?,„~i ~~fnf/(.tbv, 2. NPDES Permit#: /~DOOGi~z,?l <br />2a. Name of Mine: :,-; .,, ., "TiW rrli."~ ~ r 2b. MLRD Permit#: ~ - g7 -(;~ <br />3. Date of Contact: ,.!~r;~f In . I I", 4. Time of Contact: :! r,; !'M^ <br />5. Mine contact/title dress: ly;,,~,~ .;r,-rv; i'~I;I;ulrrti,5~ <br />P.D . ~71~uYr ~ f-~1:,1-I Pile i'( ) R Iii ~`I r <br />6. Phone: ~(,~ 7~(0 ~~~,~'~ 7. Inspector/Sampler: SZr5G1i1~ /21%~'v„txt~ 1^ <br />8. Date ana Time of Sampling: ~F-!'~ °I~ !G ll,~rtm <br />9. Does Mine Representative wish to be present?: e5 <br />10. If so, list name, title, and phone: i~.-wnES ~-r,k< Nz.~-~1i!c~-ri5>~ <br />Boa 7_~lr. 3~G~ ' - <br />1 oes the Operator wish a sample split? ~ S Initials: <br />12. Will the Operator provide container? Initials: ___ <br />13. Are there an,y special arrangements to meet *_ site? itio <br />14. Parameters to be Monitored: Total Suspended Solids ~ pH~_ <br />Temperature Settleable Solids __ 'ron ~Flanganese <br />Other (list): _ 7 T <br />15. Type of Sample Grab ~_ Composite - Describe ocation samp a was <br />taken: <br />16. Con~ainers: ~ Plastic containers w/o acid Size: <br />__ Plastic containers acidified w/HN03 Size: <br />Other: ~ ..A <br />17. Name b Titlt of Persons Pres@gt-pu"ring Samplj ~ L~?+-~L~S Jc-nES Ntr,r-rc%ai51 <br />18. Was sample split? r~~~'.S ' <br />19: Who'Received.'or Denied Sp it Name,Tit~e, InitiaTs!: <br />sposition of sample after co <br />Transferred From: ;;l~~,n~-JSCn To: <br />Transferred From: ~ /?,,,~lp„ To: <br />Transferred From: To: <br />Transferred From: To: <br />Receive•.1 at Lah b.y: _ <br />Comme~it s <br />i.' <br />Time/!`ate: --"/ Db~c:.rx 4-~¢-;'y <br />Time/Date: ,~!t ~:, y-i>-~~ <br />Time/Date: _ <br />Time/Date• <br />Time/Date•~ <br /> <br />ot~rl.aboratory ana ysis o tea ove menticne samp a in icaces a <br />violation of the "Water Quality Control Act", or other State or Federal water <br />quality Laws, these results may be used in the future for enforcement actions. <br />ampler: ~~ /l'~`~~rC7, <br />~,n <br />