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<br />COLORADO DEPARTMENT OF HEALTH <br />Water Quality Control Division <br />(Sample Collected by MLRD) <br />Water Lab No. •~~.~? ~' <br />(From Water Qua ata heet <br />ENFORCEMENT MONITORING FACT SHEET <br />Name of Company: (~j,,,t ~,~;,,,_ (/,~,~~ C'._r+~_ 2. NPDES Permit#:CO-i~o337~3 <br />2a. Name of Mine: t'~tu._ Q , k?bn.~ r>t~ rL.. 2b. MLRD Permit#: c_ -3i -C)y ~ <br />3. Date of Contact: ~ 4. Time of Contact: i~,30 nL~. <br />5. Mine contact/title a res ~~r„ z-~l~kc,~ Pre.c:"~ 1=~ut,n~l:c~ <br />D.CS P~,+X 13•~3.tPnl.~.r~l[_ cw~. r <br />6. Phone: ~(oy - q~5 1 7. Inspector/S amp er: ~u•i~ (1'1e+.,: ~ <br />8. Date ana dime of Sampling: 5 <br />9. Does Mine Representative wish to be resent?: <br />10. If so, list-name, title, and Phone:gLc~rr~ R2xh11z,r re~,.;~'t tr~;,,tt,r <br />11. Does the Operator wish a sample split? too lm ttals: (~/L <br />12. Wil] the Operator provide container? ~ Initials: <br />13. Are there any special arrangements to meet at site? z. <br />14. Parameters to be Monitored: Total Suspended Solids pH -~L <br />Temperature Settleable Solids ~~ Iron JL ~+~anganese <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 /> _ <br />Plastic containers acidified w/HN03 Size: <br /> Other: _ <br />17. Name & Ttt e of Persons Present During Samp in <br />g: >„` j <br />Su.O LrV ,:JLYV ~, lnnl <br />[nlOOlti~" <br />L.G'C(Y Q.t.sc.l~kr <br />~i,r" tr,e1 FttrM <br />18. , <br />>: <br />Was sam le split~no <br />19. Who Received or Denied Sp it Name,Ttt e, Initta s ~~„ _ e~c,h k~ <br />spostttonoor sample arter collection: <br />Transr(r?)rreo from: io: <br />Transferred From: To: <br />Transferred From: To: <br />Transferred From: To: <br />Received at Lab by: <br />Comments: <br />.(A.a <br />Time/Date: Io;sO ate,, ,-,g .47 <br />Time/Date: <br />Time/Date: <br />Time/Date: <br />Time/Date: <br />Note: Laboratory ana ysts o the above mentioned samp a to tcates 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 />