Laserfiche WebLink
<br />COLORADO DEPARTMENT OF HEALTH Water Lab No. 3 Z <br />t <br />h <br />W <br />Wat a <br />er Quality Control Division (From er Qua a a <br />eet <br />(Sample Collected by MLRD) <br /> ENFORCEMENT MONITORING FACT SHEET <br />1. Name of Company: C „s Or 2. NPOES Permit#: ~,p ~~i3.3~S <br />2a. Name of Mine: ~ ~d~( 2b. MLRD Permit#: C-sr/~o3 A <br />3. Date of Contact ~ !0-~3 4. Time of Contact: r~:vt~,a',.-, <br />5. Mine contact/titleTa3aress: Karl lCow~ilor - ~h bironrrr.elv~_5=,.-.,~to~ <br /> _C7. o / 9 9 cro t CO /U <br />6. Phone: r ,s-' 7. Inspector/Sampler: eve l.ue <br />8. ~- /o-q~ /r: ys te <br />Date an3- ime o ampTing: r., <br />9. _ <br />Does Mine Representative wish to be present?: .mac Nc ~s ..e-~bv <br />l0. If so, list name, title, and phone: <br />1 Does t e Operator wish a samp e sp it? it/o Initia s: 5 SS <br />- <br />- <br />l2. Will the Operator provide container? yo Initials: <br />~ <br />13. Are there any special arrangements to meet at site? ,,,/ o <br />14. Parameters to be Monitored: Total Suspended Solids ~ pH _~ <br /> Temperature Settleable Solids Iron ___)_ C_ anganese <br /> Other (list): <br />15. Describe <br />Type of Sample: rab Composite ocation samp a was <br /> _ <br />taken: <br /> <br />16. Containers: Plastic containers w/o acid Size: / <br /> ~_ Plastic containers acidified w/HN03 Size: r~ <br /> Other: <br />17. Name & Tit a of Persons Present During Sampling: ~r/ or, <br />]8. Was sample split? p <br />19. Who Received or Denie Sp it Name, it e, [nit~a s <br />20. Disposition of sample a ter co lection: ,Tr-e r~7 r' <br />Transferred From: Tp; i ime/Uate: y' !D-qT <br />Transferred From: To; Time/Date: <br />Transferred From: To; Time/Date: <br />Transferred From: To; Time/Date: ~,. <br />Received at Lah by: Time/Date: <br />Comments: ~ar;0 ,, ic% r7~R' `i3~75~/O <br />~ <br /> , <br />otie: it caooratory analysis of the above mentioned sample ~naica <br />violation of the "Water Quality Control Act", or other State or <br />quality Laws, these results may be used in the future for enforc <br />Signature of Sampler: <br />Doc. # 8683E-B <br />A <br />