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J - " . <br />~. <br />~-- ' ' ~ - _ Tl ~ V r e Wei--- - - - - _ <br />_.. ,.. r _... _ ....: ::. <br />----z-~._..~: <br />. ~ SEP 2 01955 ~ '"°'° °''~ ' :, <br />_... <br />MINED LAND <br />COLOR.4D0 DEPARTr1E1JT OF HER9ff~LAMATIDN DIVISIONW~Cer Lab n'o. ~ /~} ~ <br />'Rater Quality Control Division (From Water Qua Data heet <br />(Sample Collected by MLRD) <br />Er1FORCEMEr1T MONITORING FACT SHEET <br />1. Name of Company :.~,le~.t~, Ya~~:, C,~lc,;. 2. NP DES Permitk: <br />2a. Name of Mine: hinetl, ~, p:kn..+~ n~iC 2b. MLRD Permitk:'1•l-iT7 <br />3. Date of Contact: ~ /z/'rs 4. Time of Contact: <br />5. Mine contact/title address: ~~_„I T;1••r~,. <br />b. Phone: ~ 3) 789- 38~a <br />8. Date an~ime of Samp ing: <br />9. Does Mine Representative w <br />10. If so, list name, title, <br />nspector/ampler: <br />ish to be presen <br />and phone: <br />- << <br />1 Does the Operator wish a sampl sp it? eS Initials: <br />12. Will the Operator provide container? ~ j Initials: ,~. <br />13. Are there any special arrangements to meet at site? n ~ <br />14. Parameters to be Monitored: Total Suspended Solids X pH <br />Temperature Settleable Solids Iron -Fanganese <br />Other (list): <br />16. Type of Sample: Grab > Composite _ Describe ocation Samp a was <br />taken: b.rcL r-~, P~~.~ ~F <br />16. Containers: >( Plastic containers w/o acid Size: , i;+cr, <br />_ Plastic containers acidified w/HNO3 Size: <br />Other: <br />17. Name & Tit e of PQrsons Present During Sampling: <br />18. Was sample split? c S <br />19. Who Received or Denied Sp it Name,Title, In itia s <br />rz ~~ ¢. N~-. ~ r. ~ S'~ -~ E/VYl ?a ~/. t'T'F~ //]C7aU ~ , ~` <br />20. Disposition of sample after coJ~ection: <br /> / , <br />ransferred From: ~' c To: ,,,~. K .<<sTime/Date: ~ b ~' ~ C7Q A-H <br />Transferred From: To: Time/Date: <br />Transferred From: To: Time/Date: <br />Transferred From: To: Time/Date: <br />Received at Lab by: ~ ~ _~a,-,,, Time/Date: ~~ <br />Comments: <br />Note: I Laboratory ana ysis of the above mentioned samp e indicates 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 f}rt-Rre for enforcement actions. <br />Signature of Sampler: <br />Doc. ?I 8683E-B <br />