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<br /> <br /> <br />COLORADO DEPARTMENT OF HEALTH <br />Water Quality Control Division <br />(Sample Collected by MLRD) <br />y <br />ENFORCEMENT MONITORING FACT SHEET <br /> <br />~~~ ~- <br />.} <br />..._ <br />..l <br />.` <br />1. Name of Company: C ,~.~ Dr r Vale C oc . 2. NPDES Permit#:CD-Cx,'33GYS <br />2a. Name of Mine: OcC~.~d 1/a11<< !~•s icr,,, 2b. MLRD Permit#: G-Fl -fir <br />3. Date of Contact: o y ' G; -a / 4. Time of Contact: /(30 <br />5. Mine contact/t[~itle a cress: p(~r o~~le.t' 6K,/~ roKr,~..aal .u~r <br />~O'(?i~ 17 R4 1'GLUn~AI GO S71uoQ <br />. 1nSpeCLOr/Jdmpler: <br />8. Date and Time of Sampling: ©y-((a-q2 l y(s _" <br />9. Does Mine Representative wish to be present?: ca.~us P rc•X,. <br />10. If so, list name, title, and phone: 54~...G cs a6cvt <br />1 Does the Operator wish a sample sp it? ~o Initials: s>i <br />12. Will the Operator provide container? n/o Initials: Sss <br />13. Are there any special arrangements to meet at site? T.k.~ f~..rr•.. i~~~r.-.~--~-~ <br />14. Parameters to be Monitored: Total Suspended Solids X pH X" <br />Temperature Settleable Solids K Iron ~ +langanese <br />Other (list): C'~I .46cense~~' enoo..A Ra.~+ale a~.rlablP <br />15. Type of Sample: Gra ~_ Compo ite ~ Descri a ocation samp e~ was <br />taken: rhsr,l2. O.rL..-.t r,.n~.,w:~,~ i.-:.~,P Pin d ~ ~(,~.~_ _..~_ r1~,_;, <br />Containers,: ~ Plastic containers w/o acid Size: /L <br />~7- Plastic containers acidified w/HN03 Size: /~ <br />Other: n e <br />Name & Ti\\t t? of P/e rsons Present During Sanmpling: ere ! uc. M Ki <br />~. rinPC.l f(, r.5 rlnQ 7~.nC~n ~~/ r7 I~ I21/_C/JLG Ir.. i( kn/~. r lr~Ul! I <br />iu. was•sampre splits ---r-!U~ <br />19. WYIo Received or Denied Sp <br /> <br />Water Lab No. <br />(From Water Qua ata Sheet <br />,title, <br />zu. yispos(ition or sample at ter collection: c <br />°, inU1l~V L.IdN!(V Rra~i FF,rI <br />Transferreo rrom: _ <br />Transferred From: _ <br />Transferred From: _ <br />Transferred From: <br />Received at Lab by: <br />Comments: <br />o: ,G lime/Date: <br />o: Time/Date: <br />o: Time/Date: <br />o: ,., Time/Date: <br />,~ 1 ' Time/Date: <br />~: <br /> <br />c <br />V. ~`~, <br />f <br />Noted f Laboratory ana ysis o t e Above mentioned 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: .i <br />Doc. # 8b83F-B <br /> <br />.. <br />