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<br />COLORADO DEPARTMENT OF HEALTH
<br />' Water Qual~.ity Control Division
<br />(:Sample 'Collected by MLRD)' " "
<br />JL~N 7 ~~
<br />. ~PRm Water Qua a a
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<br />ENFORCEMENT MONITORING FACT SHEET
<br />1. Name of Company: S~wmo.:s C~•.rQ Co , 2. NPDES Permit#:
<br />2a. Name of Mine: .7r :.• ~ :r ' •^-Ic Y • ~- 2b. MLRD Permit#:~S
<br />3. Date of Contact: -_ ~ i6 4./Time of Con/tact:~i
<br />5. Mine contact///t.itlenna ress: s,~., l- F /J/'F~ ~L j1N~J,l,n/Il,j~ ~~~
<br />S i:.~MOSS WSJ W
<br />6. Phone:., nspector amp er: r,o'.r ,c.~
<br />8. Date a ,me o amp ,ng: i• ~ ~ ,1~1-
<br />9. Does Mir~e Representative wish to be present?: -
<br />10. If so, llist name, title, and phone: SC. f/ un~s _nv,~.nrnrr
<br />11. Does the Operator wish a sample split? ,~ Initials:
<br />12. Will the Operator provide container? Initials:
<br />13. Are tl7~re;any special arrangements to meet at s,te. ~ u
<br />14. Param ter s to be Monitored: Total Suspended Solids pH
<br />-
<br /> Ffanganese
<br />Temp~ature Settleable Solids Iron eT
<br /> Other (list):
<br />15. Type of Sample: ra pmpgslte cr,be ocat,on s.amp
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<br />taken: 0.;
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<br />16. Containers: Plastic containers w/o acid Size: ~_
<br /> -7- Plastic containers acidified w/HN03 Size: L
<br />Other:
<br />iZ. Name, & ti a of Persons, Present D
<br />18. Was sample split? ~,
<br />1g. Who Received or Den,e p ,t Name,
<br />ZU. Disposition or sample aster c~,llec
<br />/. i" ~. .w ~.~~`S
<br />Transferred From:;,\r., l•. o
<br />Transferred From: To:
<br />Transferred From: To;
<br />Transferred From: o:
<br />Received at Lab by:
<br />Comments:
<br />ur,ng 5z
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<br />Time/Date: ~-
<br />Time/Date:
<br />Time/Date'
<br />Time/Date:
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<br />Note: a oratory ana ys,s o t e a ove ment,one camp e•,n ,cates a
<br />violation of the "Water Qua.Yity Control Act", or ,other $tate.or. Federal water
<br />ham'
<br />quality Laws, these results nYay be. used ;in the,.~gtu,re for. enforcement actions.
<br />Signature of Sampler: ~ ~ ~ -
<br />J~ fir'
<br />Doc. # 8683E-B
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