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C LORADO DEPARTMENT OF HEALTH Water Lab No. <br />W ter Quality Control Division (From Water Qua Data Sheet <br />( ample Collected by MLRD) <br /> ENFORCEMENT MONITORING FACT SHEET <br />1 <br />2 Name of Company: L~av.sDr rdUaIIQvC~.alGocd. 2. NPDES Permit#:CO-fX7336S5" ` <br />Name of Mine: D ~dValltyG.~ikivre 2b. MLRD Permit#:G-S%-O~~ <br />3 Date of Contact: m K- -4 4. Time of Contact: //~ <br />5 Mine contact/title ad ress• p(,af o~.1~~ l;w.y~!'onrtcK~./ ~ra_~- <br />o Qo LO <br /> <br />8 Phone: - - S nspector/Sampler: .. ue ,.r <br />Date an ime o Samp ing: ®y - <br />9 Does Mine Representative wish to be present?: G..rrs ra <br />1 If so, list name, title, and phone: Sal..,c as aSo ~ <br />1 Does t e Operator wish a sample sp it? ,,io Initials: »f <br />1 Will the Operator provide container? ,rb Initials: Sys <br />1 <br />1 Are there any special arrangements to meet at site?'T ,,,, ,., ..s ke-i <br />Parameters to be Monitored: Total Suspended Solids r' pH <br />Temperature Settleable Solids ~ <br />Iron ~anganese <br /> <br />1 _ <br />Other (list): ©~~ f~r~°xs~~~ eno....i, Sa I ara~la6lp <br />Type of Sample: Grab -~ Comp ite _ Describe ocation Samp a was <br />t t CcJv04 ~v <br />1 Containers: t Plastic containers w/o acid Size: ~ <br /> - <br />7- Plastic containers acidified w/HN03 Size: ~ L <br /> Other: ,tom <br />1 Name & Title of P rsons Present During Sampling: a re ivl <br /> ~ r~S~in¢ ol.n n ~KL tc [ o r <br />18. Was Samp e split? ~{/ <br />1 9. Who Received or Denied Sp it Name,Tit e, Initia s ~d- <br /> 0. ispo~ition of sample after co lection: <br />C.(au ~ ~ . <br /> <br /> ransferred From: To: Time/Date: O/ '1 <br />ransferred From: To: Time/Date: <br /> ransferred From: To: Time/Date: <br /> ransferred From: To: Time/Date: <br /> eceived at Lab by: Time/Date: <br /> omments: <br /> <br /> <br /> <br /> <br /> <br /> <br /> ote: I Laboratory ana ysis o the a ove 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 /> ignature of Sampler: ~~~~_/~---~ <br /> oc. # 8683E-B <br />~~ <br />/~1V. ingr <br /> <br />