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<br />COLORADO DEPARTMENT OF HEIALTH
<br />Water Quality Control Division
<br />(Sample Collected by MLRD)
<br />Water Lab No. 3
<br />(From Water Qua Data Sheet
<br />ENFORCEMENT MONITORING FACT SHEET
<br />1. Name of Company: „J.s.a~xtr~~ ~...t- - L(.,i...
<br />2a. Name of Mine: .~~
<br />3. Date of Contact,:
<br />5. Mine contact/titl a ress: -r,~ ~~w,•,
<br />P. v.6~ ia~~. tom..-:,~. ~c~ 8ie<
<br />6. Phone: 7. Inspec
<br />8. Date an ime of Samp ing: 3/i~ 3
<br />9. Does Mine Representative wish to ~ p
<br />10. If so, list name, title, and phone:
<br />2, NPDES Permit#: Lo~G380a~1
<br />2b. MLRD Permit#: C~ 81 of g
<br />4, Time of Contact: ~d:~;U ~,,,,,
<br />ampler:
<br />11. Does the Operator wish a sample sp it? ~,1,} Initia s:
<br />12. Will the Operator provide container? ir.~' Initials:
<br />13. Are there any special arrangements to meet at site? ~,~
<br />14. Parameters to be Monitored: Total Suspended Solids pH
<br />Temperature Settleable Solids ~_ Iron ~anganese
<br />Other (1 i st) : r-l, -,_...,c,G -lo + k.c ~:,, ~, eEal
<br />15. Type of Sample: Grab X Composite Describe onion samp a was
<br />taken: a..~<~,.e-_ -P ~•J ~,,.r ,~..~ ,~..,._ b--~,,, _DP~i ~. «~(i,;,..~_i
<br />16. Containers: Plastic containers w/o acid Size: ~
<br />
<br />Plastic containers acidified w/HN03 _
<br />Size:
<br />_
<br />Other:
<br />17. Name & Tit a of Persons Present During Samp ing: ~ ,,,,,~ I3;,,,,~.
<br />18. Was sample split? ~,
<br />1g. Who Received or
<br />Denied Sp it Name,Tit e, Initia s -T,,.. rl,,,,,..
<br />k
<br />/~ _
<br />20. Disposition of sample after collection: ,;,,, ~aacs ;~ i~, ~.-1 -+,~<:< -~G~
<br />lcsl .
<br /> ~
<br />Transferred From: Q,.~- .-.~, To: /6°~~rl..., ~% Time Date: -/~~z ~~~ 3
<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 />Note: I Laboratory ana ysis o t e a ove mentione samp 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
<br />
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