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• COLORADO DEPARTMENT OF HEALTH Water Lab No. 9~ ~lz} ~ <br />Water Quality Control Division (From Water Qua Data Sheet <br />(Sample Collected by MLRD) <br />ENFORCEMENT MONITORING FACT SHEET <br />1. Name of Company: 1CpC,1cGLL,9`f~~ Cp~ ~j, 2. NPDES Permit#:~~ ° OU3 ~ ~J3 <br />2a. Name of Mine: ~vA~9SV (`~n~ 2b. MLRD Permit#: C- i -b3q <br />3. Date of Contact: -~ 4. Time of Contact: <br />5. Mine contact/title a ress: Y~~ B _ <br />b. none: i. in <br />8. Date an Time of Samp ing: Q - (,a <br />9. Does Mine Representative wish to be p <br />10. If so, list name, title, and phone: <br />er: <br />11. Does the Operator wish a sample sp it? yvp, Initia s: <br />12. Will the Operator provide container? Initials: <br />13. Are there any special arrangements to meet at site? v~.0 <br />14. Parameters to be Monitored: Total Suspended Solids pH <br />Temperature Settleable Solids _~ Iron _-manganese _~ <br />Other (list): <br />15. Type of Sample: Grab _ Composite Describe ocation Samp a was <br />taken: nu~l'd-'a.ll n,~-' flo v~[T- (~0'S <br />Ib. CO nt diners: _~ Vldst lC conta hers w/O aC id Size: <br />_~ Plastic containers acidified w/HNO3 Size: <br />Other: <br />17. Name & Title of Persons Present During Samp ing: y«,_,_ <br />18. Was sample split? <br />1g. Who Received or Denied Sp it Name,Tit e, Initia s <br />collection: <br />iransrerrea rrom: g, fYlc.(~~ +~m~,lo: <br />Transferred From: To: <br />Transferred From: To: <br />Transferred From: To: <br />Received at Lab by: <br />Comments: <br />lime/ua>:e: <br />Time/Date: <br />Time/Date: <br />Time/Date: <br />Time/Date: <br />Note: I La oratory ana ysis o tea ove 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 future for enforcement actions. <br />Signature of Sampler: <br />Doc. # 8683E-B <br />