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<br /> ~ <br />~. <br />: <br /> <br />COLORADO DEPARTMENT OF HEALTH <br />Water Quality Control Division <br />(Sample Collected by MLRD) <br />Water Lab No. GI Z 3cI ~5~ <br />(From Water Qua ata heet <br />ENFORCEMENT MONITORING FACT SHEET <br />1. Name of Company: ,. 2. NPDES Permit#: <br />2a. Name of Mine: ,~, 2b. MLRD Permit#: <br />3. Date of Contact: T ~ ~ - 4. Time of Contact: . <br />5. Mine contact/title a ress: ~~ ,. - <br />} ~ <br />6. Phone: 7. Inspector/Sampler: <br />8. Date an Time of Samp ing: ~, ~°'r, ~9 ~ -. ~ <br />9. Does Mine Representative wish to be present?: <br />10. If so, list name, title, and phone: <br />11. 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 > Iron ~ Manganese <br />Other (list): <br />15. Type of Sample: Grab 1,- 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 & Title of Persons Present During Sampling: - <br />la. was sample splitr <br />19. Who Received or Denied Sp it Name,Title, Initia s <br />20. Disposition of sample after co lection: <br />Iransterretl From: ,,~r' lo: <br />Transferred From: To: <br />Transferred From: To: <br />Transferred From: To: <br />Received at Lab by: <br />Comments: r , <br />Signature of Sampler: <br />Doc. # 8683E-B <br />Time/Date: <br />Time/Date: <br />Time/Date: <br />Time/Date: <br /> <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 />