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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 a a heet <br /> ENFORCEMENT MONITORING FACT SHEET <br />1. Name of Company: GjEC. ~1,~~/l~( ~~b 2. NPDES Permit#: (,~-C7J3'(p(pq~' <br />2a. Name of Mine: 2b. MLRD Permit#: (`,~ .(~~,'~ <br />3. Date of Contact: 13 qz, 4. Time of Contact: /~a :'~ ~ <br />5. Mine contact/title a ress: <br />6. Phone: 7. Inspector/Samp er: <br />8. Date an ime of Samp ing: ~ ~_I~,)_q~, _ (~'.~JJ <br />9. Does Mine Representative wish to be present?: A7 <br />10. If so, list name, title, and phone: <br />II. Does the Operator wish a sample spilt? 1,7C~ Im teals: <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 <br />Temperature Settleable Solids Iron -Fianganese <br />Other (list): <br />15. Type of Sample: Grab ~_ Composite _ Describe ocation Samp a was <br />taken: aV nin_n ~ lY1pUrJle. CJio~{ <br />16. Containers: Plastic containers w/o acid Size: <br />_ Plastic containers acidified w/HN03 Size: <br />Other: <br />]7. Name & Title of Persons Present During Sampling: <br />18. was sample split! <br />19. Who Received or De <br />e, In <br />20. Disposition of sample after collection: <br />Transferred From: _ <br />Transferred From: _ <br />Transferred From: <br />Received at Lab by: <br />Comments: <br />Time/Date: <br />Time/Date: <br />Time/Date: <br />Time/Date: <br />Note: If La oratory ana ysis o the above mentione Samp a in ica es a <br />violation of the "Water Quality Control Act", or other State or Federal water <br />quality Laws, these results~ay be used in the future for enforcement actions. <br />Signature of Sampler: <br />l4; <br />Doc. # 8683E-B <br />