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T <br />COLORADO DEPARTMENT OF HEALTH Water Lab No. Z~3 <br />Water Quality Control Division (From Water Qua Data Sheet <br />(Sample Collected by MLRD) <br />ENFORCEMENT MONITORING FACT SHEET <br />1. Name of Company: ~ 2. NPDES Permit#:(;jl(=- $5687)3 <br />2a. Name of Mine: yYUmc,o 2b. MLRD Permit#: /~.,g/-o3Z <br />3. Date of Contact: 7,Q q Z 4. Time of Contact: y:~p cerx, <br />5. Mine contact/title a ress: <br />C'eu.rf ~ FX <br />6. Phone: - ; 7. IppSpector/Sampler: <br />8. Date an Time of Samp ing: /e ~2o/9Z 2~ 3S /~ __ <br />9. Does Mine Representative wish to'be'present?: <br />10. If so, list name, title, and phone: <br />11. Does the Operator wish a Samp e sp it? yi,p Initials: <br />12. Will the Operator provide container? ~ Initials: <br />13. Are there any special arrangements to meet at site? iyo <br />14. Parameters to be Monitored: Total Suspended Solids pH <br />Temperature Settleable Solids Iron anganese <br />Other (list): <br />l5. Type of Sample: Grab Composite _ Describe ocation Samp a was <br />taken: <br />16. Containers: Plastic containers w/o acid Size: <br />_ Plastic containers acidified w/HN03 Size: <br />Other: <br />17;_,Name & Tide of Persons Present During Sampling: y~yQ,N, ~.,~~ _ <br />iransrerreo rrom: ~,y~yi5~ ~-y~ lo: <br />Transferred From: To: <br />Transferred From: To: <br />Transferred From: To: <br />Received at Lab by: <br />Comments: <br />was sample sp <br />Who Received <br />Time/Date: <br />Time/Date: <br />Time/Date: <br />Time/Date: <br />1m14s ~ ,2 <br />Note: If Laboratory ana ysis 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: C- l- <br />Doc. # 8683E-B <br />