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d ~18`7631gg <br /> <br />~c~w,~. usrl~ <br />COLORADO DEPARTMENT OF HEALTH Water Lab No. L <br />Water Quality Control Division (From Water Qua ata heet <br />(Sample Collected by MLRD) <br />ENFORCEMENT MONITORING FACT SHEET <br />1. Name of Company: Co~oY4 0 a oo ~~, 2. NPDES Permit#: Co-ooa'7/5 `F <br />2a. Name of Mine: ~ ,,, „ +dL 2b. MLRD Permit#: C- !-0"77 <br />3. Date of Contact: 3-~ - 4. Time of Contact: /o:oo Y9./'7. <br />5. M'ne contact/title a ress: t - Jeni~r En /. Er/gin eer' <br />~D. Qox 897 l7ak Cree , Go 0~`7 <br />6. Phone: 7. Inspector/Sampler:_ Tw -;cfrrPin2r <br />8. Date an Ttme o Samp ing: 3-1~'-~7 /0:oo/9i°'! <br />9. Does Mine Representative wish to be pr ent?: S <br />10. If so, list name, title, and phone: ~"c~ef E„/, H~,hzey- <br />. Does the Operator wish a sample sp it? vhf Initia s: T/4S <br />12. Will the Operator provide container? h o Initials: <br />13. Are there any special arrangements to meet at site? n o <br />14. Parameters to be Monitored: Total Suspended Solids x pH >c <br />Temperature X Settleable Solids X Iron ~c-Ftanganese <br />Other (list): <br />15. Type of Sample• Grdb ~ Composite Describe ocation Samp a was <br />taken: Out/ef o-F CM% SO%~aY ~/k' <br />16. Containers: x Plastic containers w/o acid Size: / /,~,4r <br />_ Plastic containers acidified w/HN03 Size: <br />Other: <br />17. Name & Tit a of ersons Present During Samp ing: ; ~ ' cr - <br />/ ''// <br />Sdec:a~~Jf" /GrT /rN4/Sef -EHd ~N~~in2~l'y <br />18. 'Was sample "split? zf " ~ <br />19. Who Received or Denied Sp it Name,Tit e, Initia s , <br />sposit~//ion of sample after coltecl <br />rwlG lOr et< le ~nYL ~nf/ fYGn/ <br />transferred rrom: /~,.,,,,.K,~,,.,a,,,,flv io: <br />Transferred From: To: <br />Transferred From: To: <br />Transferred From: To: <br />Received at ab by: <br />Comments: IC_P r ;,1 i n ) ~: ~ ~ /, <br />Time/Date: <br />Time/Date: <br />Time/Date: <br />Time/Date: <br />73 <br />Note: I Laboratory ana ysis o the above 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 fu~ure for enforcement actions. <br />Signature of Sampler: <br />Doc. # 8683E-B <br />