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<br /> <br />' SEP 2 0 CBS <br /> MINED LAND i ~~ ~ <br />COL ter Lab Plo. ~ <br />ORADO DEPARTMENT OF HEf1LT <br />~CLAMATIONDIVISI~~ <br />~ ~ <br />:lat -om Water Qua <br />er Quality Control Divisio <br />r Data heel <br />(Sa mple Collected by MLRD) <br /> ENFORCEMENT MONITORING FACT SHEET <br />1. Name of Company: =;j,~.Q" ~~wp~; ~;.~( CC 2. NPDES Permit: <br />2a. Name of Mine: '~,~a~ ~~ 2b. MLRD Permit~: ~~r-i~~ <br />3. Date of Contact: ]~tl Jg 4. Time of Contac t:tO= vv <br />5. Mine contact/title/ad ress: Te~rel~ ~otinsuv„ C Ycl ~~t.~mi,,,-} <br />6. Phone: 7. Inspector/Sampler: eb~v-? ~ l ~ n <br />8. Date an ime of Samp ing: 7~31~~s I D."`{~J <br />9. Does Mine Representative wish to be present?: e s <br />10. If so, list name, title, and phone: je,..ll ~ o ~so~ <br />11. Does the Operator wish a sample split? is S Initials{ j~ <br />12. Will the Operator provide container? c~ InitialsrT~~ <br />13. Are there any special arrangements to meet at site? ~ ~ ~ <br />14. Parameters to be i4onitored: Total Sus pended Solids pH <br /> Temperature Settleable Solids :r Iron Manganese <br /> Other (list): <br />15. Type of Sample: Grab ~l Composite _ Describe ocation Samp e was <br /> taken: <br />16. Containers: 1 Plastic containers w/o acid Size: '1,~1~ <br />~ Plastic containers acidified w/HNO3 Size: <br />Other: <br />17. Name & Tit e of Persons Present During Sampling: 0-, TtHv`„~ iuv~n~~~~~.1 C~.:.1~ <br />its. was sample spi <br />19. Wbe'Received o <br />ea ~p <br />ame;titie, initia <br />`; <br />ZU. U1SpOSlilOn Oil sample arter col section: t<~d~ / ~'~A[«\ ~~~ CD~hGV ,~r. ct~r <br />Sv/°r~ ~sio.. <br /> ~ ~ <br />Transferred From: -..t To: ~ ,__~, _ s ui~ Time/Date: <br />Transferred From: - To: Time/Date: <br />Transferred From: {' To: ' y- ~ - Time!Date: <br />Transferred From: To: Time/Date: <br />Received at Lab by: _ ~,_, __ Time/Date: <br />Comments: <br />~ ~ ;?-- O v oa C i` <br />Note: If Laboratory ana ysis o the above mentioned Samp e in states a <br />violation of the "Water Quality Control Act", or other State or Federal water <br />quality Laws, these resu~Cs~~nay be used in tF~' ~ytu~ fob nforcement actions. <br />Signature of Sampler: /l////V / ~//r. <br />Doc. # 8683E-6 <br />