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<br />~~ !CI^ ~ • III I I I I I III I IIII III
<br />COLORADO DEPARTMENT OF HEALTH Water Lab No.
<br />{ Water Quality Control Division (From Water Qua a a heet
<br />' (Sample Collected by MLRD)
<br />~ ENFORCEMENT MONITORING FACT SHEET
<br />l . Name of Company: ~),•, -:-r,7~ ~},y,~ry . ,~~ 1r ~ 2. NPDES Permit#: ~ ~ -' ' ~`-•
<br />2a. Name of Mine: ~•„•~t,,. ~„~;,,:~. 2b. MLRD Permit#: C .~.,-o-r i
<br />3. Date of Contact: - -'1 4. Time of Contact: /,? , •~~. ~, <, ~,
<br />5. Mine contact/title ad ress: ~ :'-,R,~y ~x~ (~r', /L
<br />
<br />
<br />6. Phone: 3~-, fcgB ~f - 7i'S'/ 7. Inspector/Samp er: ~ ~,,,_; , rya, !._sr~
<br />8. Date and ime of Samp ink- ~~ ~` -y 3 / ~, :r-,
<br />9. Does Mine Rep resentative wish to be present?: c.,fJ~ ,~,2t ,~: ~,~
<br />10. If so, list name, title, and phone: L~FR:- QES::; ir-
<br />
<br />11. Does the Operator wish a sample sp it? -rr~ ;~c. ~r Initia s: /,u,r
<br />12. Will the Operator provide container? .aRov~JE~,~ Initials: /,Ha
<br />13. Are there any special arrangements to meet at site? u,~ ~;r ^ ;-~'~.+f.2
<br />14. Parameters to be Monitored: Total Suspended Solids pH
<br />Temperature Settleable Solids Iron -1~Tanganese
<br />Other (list): Fc,A~c syrflc su,2FA =
<br />15. Type of Sample: Grab ~ Composite _ Describe ocation Samp a was
<br />taken:
<br />16. Containers: Plastic containers w/o acid Size:
<br />Plastic containers acidified w/HN03 Size:
<br />Other:
<br />17. Name & Tit a of Persons Present During Samp ing: ~/l,eR- Kt s~ !~u 1=
<br />ia. was sample spiitt Y6 s
<br />19. Who Received or DPn, dg Sp it Name,Tit e, Initia s ~~,2- ..c ..
<br />sposition of sample after collection: `c9'+LE,~, ic[- !y/' .;, J.~,.,~t~
<br />/v s /nr y 'l ~ ~)f J '
<br />Transferred From: To: Time Date:
<br />Transferred From: To: Time/Date:
<br />Transferred From: To: Time/Date:
<br />Transferred From: To: Time/Date:
<br />Received at Lab by: Time/Date:
<br />Comments:
<br />Note: If Laboratory ana ysis o the a ove mentione camp a in icates 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 />Signature of Sampler:
<br />Doc. # 8683E-B
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