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<br /> <br />COLORADO DEPARTMENT OF HEALTH <br />Water Quality Control Division <br />(Sample Collected by MLRO) <br />ENFORCEMENT MONITORING FACT SHEET <br />1. Name of Company: !n_JN~C~ <br />2a. Name of Mine: ,"L ,ram <br />3. Date of Contact: } <br />5. Mine contact/title a ress: <br />8. Date and Ttme of Samp ing: (~4(d~'GLl Z <br />9. Does Mine Representative wish to be p <br />10. If so, list name, title, and phone: <br />q 3(~`~3 <br />Water Lab No. _ <br />(From Water Qua ata Sheet <br />2. NPDES Permit#:~ <br />2b. MLRD Permit#:C=B <br />4. Time of Contact: <br />~ ~G~ C06HO~SS Ori ~ <br />er: <br />rl. uoes the uperator wtsh a sample spltt~ ~i0 <br />12. Will the Operator provide container? ~- <br />13. Are there any special arrangements to meet at site? ~i <br />14. Parameters to be Monitored: Total Suspended Solids ~ <br />Temperature Settleable Solids ~_ Iron _~ <br />Other (list): <br />15. Type of Sample: Grab < Composite _ Describe o <br />taken: ~'-/'~.Cq(/~l[t nF p~JHG~~~I SOi//GYdV Cll~Lir~ d~ <br />. Containers: ;L Plastic containers w/o acid <br />_j_ Plastic containers acidified w/HN03 <br />Other: <br />17. Name & Title of Persons Present During Sampling: <br />Spccra(~s~, dlyr5ro~r of ytl~~yels ~- Gco, <br />18. Was sample split? ~jp <br />19. Who Received or Denied Split(Name,Title, Initia <br />lntttals: _ <br />Initials: <br />H <br />Ranganese _~ <br />ton samep a was <br />910/ ~S, ,4/!'0ES <br />Size: _ <br />Size: r O:.I~ <br />20. Disposition of sample after collection: _ <br />/0~ <br />Iransferred From: eyuu~ o: Itme/Date: <br /> <br />Transferred <br />From: <br />To: _ <br />Time/Date: <br /> <br />Transferred <br />From: <br />To: _ <br />Time/Date: <br /> <br />Transferred <br />From: <br />To: _ <br />Time/Date: <br />Received at Lab by: Qo~~_ Time/Date: /U:00 <br />Comments: <br />ote: If Laboratory analysis of the above mentioned sample indicates a <br />violation of the "Water// ality Control Act", or other State or Federal water <br />quality Laws, these r%S'~ts m~py be us~d~ingthe future for enforcement actions. <br />Signature of Sampler: <br />Doc. # 8683E-B <br />