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<br />COLORADO DEPARTMENT OF HEALTH
<br />Water Quality Control Division
<br />(Sample Collected by MLRD)
<br />n
<br />ENFORCEMENT MONITORING FACT SHEET
<br /> C~J- c9C15`dl ~ !
<br />1. Name of Company• i .`,.;(.,,,.u~ ~ (~,_~' ! ~, 2. NPDES Permit#: ~a-~+•,~y,
<br />2a. Name of Mines ~ u r ; o_ K ~-,'_., 2b. MLRD Permit#: r; ,- ~ a ~ Cs,
<br />3. Date of Contact': ~ ,~/ 9e 4. Time of Contact: w,y'~ ,,,...
<br />5. Mine contact/title Tdaress: f-~, . ~. ,_-F~ /-~.I I ~ a9S ~ S *~C.ct'~-3'~
<br />8. Date ana ime amp ing: 3
<br />9. Does Mine Representative wis
<br />10. If so, list name, title, and
<br />ii. uoes the uperator wish a sample splits ~~ lm teals:
<br />12. Will the Operator provide container? Initials:
<br />13. Are there any special arrangements t meet at site? ,~~
<br />14. Parameters to be Monitored: Total Suspended Solids / pH
<br />Temperature Settleable Solids Iron ,7`~fanganese
<br />Other (list):
<br />15. Type of Sample: Grab ,~ Composite Describe ocation samp a was
<br />taken: ~~ a •,~a-..,,~ ~ ac 611 ;=~,-.~ ,:,x ~.-~ ~,..~ _! ...~. ~
<br />16. Containers: ,i Plastic containers w/o acid Size:
<br />~- Plastic containers acidified w/HN03 Size:
<br />Other:
<br />17. Name & Title of Persons Present During Sampling: -;~:„„y ,;~,,,,~5 r-_,,.x r~ l~ S
<br />18. Was samRl_e_splitl -- uz. <_,
<br />19. Who'Received~or Denie Sp it Name,Trt e, Initia s ,Z .k ;~-~, lls - ,.~~~
<br />. Disposition of sample after collection:
<br />iransrerrea rrom•.-- o ~,,,,,,, io:
<br />Transferred Fr rTo:
<br />Transferred Fro To:
<br />Transferred From: To:
<br />Received at Lab by:
<br />Comments:
<br />Time/uate: 3/3/99 iC'-~,,.,~
<br />Time/Date: n
<br />Time/Date:
<br />Time/Date: ~?
<br />Time/Date• '~
<br />Note: 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:,
<br />Water Lab No. ~~~
<br />(From Water Qua ata he
<br />er
<br />tooep
<br />phone•
<br />Doc. # 8683E-B
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