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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WATER )QUALITY DATA 4F~Eer Lab No. ~1 aJ?~22 j
Discharge Sample
Colorado Department of Health `"*`a Received by:`/~
' Water Quality Control Division
4210 East 11th Ave, Denver, Co.802 ,,........Phone [phone]
Samples collected for WQCD by: NPDES Permit # , , . '~ r..r..G; ; ^/
Colorado Dept. of Natural Resources
Mined Land Reclamation Division MLRD Permit # ~' `'~' '- ".~.~~- ~~~~ `-
Rm-4z'3~1313 Sherman St. f(z}r~n ZI`s ~`-=t=---'
• Denver, Co. 80203 ..............................Phone [phone] ,
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Name of Sampling Location: D e @ Collected: Remarks:
(Mine-Operator)
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~~' `~l_''~-~ Sample ID.:
County: If Com osTtoe Sam le: OaS - `f'.~ ~ C~.(0 -

Hrs.Min. Hrs. Min.
Name of Sampler: Date received in Lab: Weather:
~~-~'~ ~~ 3 GAO 1 ~ 1 9 3 U ~+,,r\; ~ ' / !ti>>~ ;(la_l
rs. Mtn.
NPDES Outfall #: Date Re orted: Sample Appearance:
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Y Y M M D D
P60 5tr m F-1ow cfs) P1045 Iron (u /1) P1055 Man anese(ug/1)
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P 0 D~'' har e F ow P 1 1 em erature C P400 H Standard units
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P 530 TSS m /1 Set tleable Solids ml/1)
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Sketch or 5ampitng Locatton: N
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Comments:
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Doc. #8683F-A ~~,
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