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~~ ~ ~ - <br />COLORADO DEPARTMENT OF HEALTH Water Lab No. / Z 3 y7~ <br />Water Quality Control Division (From Water Qua ata heet <br />(Sample Collected by MLRD) <br />ENFORCEMENT MONITOA.ING FACT SHEET <br />1. Name of Company: 2. NPDES Permit#:' <br />2a. Name of Mine: - 2b. MLRD Permit#: <br />3. Date of Contact: ~ 4. Time of Contact: - <br />5. Mine contact/title a ress: _:. _ ~c- ~„ ,;.,, ~.,. _ - <br />- i r ". 9 (; is 'v v- <br />6. Phone: 7. Inspector/Samp er: .~' <br />8. Date an ime of Samp ing: ~ ~'t,~' - <br />9. Does Mine Representative wish to tie present?: <br />10. If so, list name, title, and phone: <br />. Does the Operator wish a sample sp it? ~~ Initials: <br />12. Will the Operator provide container? •~ Initials: <br />13. Are there any special arrangements to meet at site? ~: <br />14. Parameters to be Monitored: Total Suspended Solids '~ pH x. <br />Temperature Settleable Solids X Iron •J~danganese <br />Other (list): <br />15. 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 & Tit a of Persons Present During Sampling: .~ - <br />~r <br />18. Was sample split? ~,r <br />19. Who Received or Denied Sp it Name,Tit ee, I~aTs <br />20. Disposition of sample after collection: <br />Transferred From: - ,_.,. To: ..c Time/Date: -7-~o-g2 ij;~~ <br />Transferred From: To: Time/Date: <br />Transferred From: _ <br />To: Time/Date: <br />Transferred From: To: Time/Date: <br />Received at Lab by: Time/Date: <br />Comments: ~j , - - <br />Signature of Sampler: <br />\ Doc. # 8683E-B ,r <br />r~ <br />violation of the "Water Quality Control pct", or other~State or Federal water <br />quality Laws, these results may be used in the future for enforcement actions. <br />