HYDRO26404

• Permit No: C1981025
• IBM Index Class Name: Hydrology
• Doc Name: ENFORCEMENT MONITORING FACT SHEET
• Permit Index Doc Type: DMG SAMPLING
• Media Type: D
• Archive: No

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' COLORADOiDEPARTMENT OF HEALTH Water Lab No. ~3~L2?>
Water Quality Control Division (From Water Qua ata Sheet
(Sample Collected by MLRD)
ENFORCEMENT MONITORING FACT SHEET ~
f'~ (1 ~.
l . Name of Company: N11 N 1?E'C hC 2. NPDES Permit#: "-=-=~..i.. ; ,
2a. Name of Mine: Nnr1h`Tl^~,~m(zSmir>or.,6 2b. MLRD Permit#: C-its-c~z~
3. Date of Contact: til;~ lLnt'~i ~1rci 4. Time Qf Contact: 1
5. Mine contact/title a ess': T,:,-, ~(i!~r ~ 7 ~ Il4llpl„ lnv, rt
b. Phone: ~iy5- y4aco /. Inspector/Sampler: `Gr,rn ,'n ,;J-n. Drl-Ih
8. Date an ime of Samp ing: r„Ii~I9~ ,O ,;n nrr, r t '
9. Does Mine Representative wish td be'present?:
10. If so, list name, title, and phone:

1 Does the Operator wish a sample sp it? Initials:
12. Will the Operator provide container? Initials:
13. Are there any special arrangements to meet at site?
14. Parameters to be Monitored: Total Suspended Solids pH
Temperature Settleable Solids Iron Manganese
Other (list): EQrQrr~ter•~~, U'LfN n,~t ~Y~,-:, r"~rz°Gf
15. Type of Sample: Grab ~ Composite _ Describe ocation samp a was
taken: ,~~r,~l{nLD n/ ~l?T-i~A#IL~ %~On~ GYT 1;. ~ t~ A~~t( _
16. Containers: / Plastic containers w/o acid (z) Size:
~/ Plastic containers acidified w/HN03 (i~ Size:
Other:
17. Name & Tit a of Persons Present During Sampling: ,~,~
ia. was sample spiitr
19. Who Received or Den
e, Imtiais
sposition of sample aater coiiettion:
IrdnSterretl from: f./10p , ~l;:r;N L 10: 17melUdte:
` Transferred From: V To: Time/Date:
Transferred From:., To: Time/Date:
Transferred From :.,i To: -- Time/Date:
Received at Lab by: Time/Date:
Comments:
Doc. # 8683E-B

violation of the "Water Quality Control Act", or other State or Federal water
quality Laws, these resul-ts may be used in the future for enforcement actions.
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Signature of Sampler: ,(- •„ f