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<br />COLORADO DEPARTMENT OF HEALTH <br />Water Quality Control Division <br />(Sample Collected by MLRD) <br />Water Lab No. ~ 9 7 S~ <br />(From Water Qua Data heet <br /> ENFORCEMENT MONITORING FACT SHEET <br />1. Name of Company: I.VFSTEkI~ I'VELS- U-rAH 2. NPDES Permit#: Cp-o°3 go~`~ <br />2a. Name of Mine: Ese72A00 2b. MLRD Permit#: G-$1-o <br />3. Date of Contact: (o sg 9 4. Time of Contact: 3soo pr.-~ <br />5. Mine contact/title a ress: GoRob.~ - CL~q~Qpgr,~Z?1~~'7.1~IRoN. £~!~• <br /> PoB i~•~ RaN~-r, cn ~~t~yg <br />6. Phone: 3o3-b•7S- gy3! 7. Inspector/Sampler: ~L <br />8. Date and Time of Samp ing: ~/fig/gS 3 P~- <br />9. Does Mine Representative wish to be present?: WA5 PRESS <br />10. If so, list name, title, and phone: GpepoN Q~LC.. - CQ4LQU/~(-1'T N~~RON• f~ <br /> 303- ~ ~ s -g~F 1 <br />1 Does the Operator wish a sample split? Np Initials: <br />12. Will the Operator provide container? ~d Initials: <br />13. Are there any special arrangements to meet at site? <br />14. Parameters to be Monitored: Total Suspen ed Solids ~/ pH <br /> Temperature Settleable Solids ~2 Iron anganese <br /> Other (list): <br />15. Type of Sample: Grab Composite <br />Describe ocation Samp a was <br /> _ <br />taken: <br /> <br />16. Containers: ~ Plastic containers w/o acid Size: L <br /> Plastic containers acidified w/HN03 Size: <br /> Other: <br />17. Name & Title of Persons Present During Sampling: c~bcOo.~ 8~~~ sEf Naove~ <br /> LiLT26M2A fav~.iK- IJV((Lo M~ q-L p2 ~c (aN C Y-}(.~J <br />18. Was sample split? <br />19. Who Received or Denie Sp it Name,Title, Initia s <br />20. Disposition of sample after collection: Coo~e.2 7~ up S <br />Transferred From: ~ p pn•~F- To: ~Q5 Time Date: ~g q ` <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 />Comments: <br />Note: If Laboratory analysis of 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 />Signature of Sampler: ~,~q~.~..~ cJ. r <br />Doc. # 8683E-B <br />