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' ~~5 <br />r <br />COLORADO DEPARTMENT OF HEALTH <br />Water Quality Control Division <br />(Sample Collected by MLRD) <br />Water Lab No. / Z Z 59 / <br /> <br />(From <br />Water Qua <br />ata <br />heet ~ y <br />7~~~ <br />r , ~yY <br />1. Name of Company: <br />2a. Name of Mine: T~ <br />3. Date of Contact: <br />5. Mine contact/title <br />Yir...l..~..~~ei/~f . <br />ENFORCEMENT MONITORING FACT SHEET // ~~ C-C <br />~Jtt~-ttt <br />'~~.; a~QCt/ C3GS;•, m;•,; ,~g ~O 2. NPDES Permit#: " CA- OC_-,; s•'~. <br />• ~ ,,, ., 2b. MLRD Permit#: C-R /-CSFf <br />u~. va 4. Time of Contact: -i. > > , <br />tr <br />a. rnone: i. i <br />8. Date an Time of Samp ing: - <br />9. Does Mine Representative wish to e <br />10. If so, list name, title, and phone: <br />6t~er <br />17. Name & Tit1tle of Persons Pres1ent During Sampling: <br />/~.._ WI..T~, FJJ1 ~ elk r.~. .,..:!-i. •, J~[.C.~~ L ' E . <br />ampler: <br />.resent?: wn <br />ll. Does the Operator wish a sample split? V"/ 1m dais: <br />12. Will the Operator provide container? Initials: <br />13. Are there any special arrangements to meet at ite? <br />14. Parameters to be Monitored: Total Suspended Solids pH <br />Temperature Settleable Solids ~/ Iron anganese <br />Other (list): <br />15. Type of Sample: Grab Composite _ Describe ocation Samp a was <br />taken: P~ isc ~a r~ r ~~ r - P~,dl /S - /=: <br />16. Containers: ~ Plastic containers w/o acid Size: ~ Lel~cr <br />Plastic containers acidified w/HN03 Size: <br />ia. was sample split: <br />19. Who Received or Den <br />spos <br />piit~Name,iitle, iryitiais;: <br />e aater collection: <br />Transferred From: To: <br />Transferred From: To: <br />Transferred From: To: <br />Received at Lab b.v: <br />Signature of Sampler: G(J.,,)F <br />~: f.`~ <br />Time/uate: <br />Time/Date: <br />Time/Date: <br />Time/Date: <br />Time/Date: <br />Doc. # 8683E-B n/ ~ ` \ Sa ~~,~ ~s f ~~ <br />_~~~. <br />t / '.- ~ <br />violation of the "Water Quality Control Act", or other State or Federal water <br />quality Laws, these results~ay be used in the future for enforcement actions. <br />