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<br />(303 )gL,c~-`i9`l`J ~~~~~~'~~I~~II~~I~~ FcC3fl aa(
<br />COLORADO DEPARTMENT OF HEALTH Water Lab No. _
<br />Water Quality Control Division (From Water Qua Da a heet
<br />(Sample Collected by MLRD)
<br />ENFORCEMENT MONITORING FACT SHEET
<br />1. Name of Company: I,,,rc~r,~,,.,. ~ E> ~ .:,s ~ o . 2. NPDES Permit#: ( ~:-;~C' 1.~~ w ~
<br />2a. Name of Mine:r"T,nd„_G i~ r esh ,I , 2b. MLRD Permit#:(' - R,~ -c ; !„
<br />3. Date of Contact: ' y /~1~ 4. Time of Contact: /~~ : <~
<br />5. Mine contact/title%~a ress: ~;; ~ M, ,1 ~ C~ .~.•~. r ,..,~.. ~. ,.s' ; ti.,..,, ~
<br />6. Phone:c~) to i.c ;;~. ~-,~ 7. Inspector/Sampler: _;a ,, P -+ _ (;, „„ •,
<br />F 8. Date an ime o amp ing: ti /, / ~ I ~ `~ Q..,,
<br />9. Does Mine Representative wish tb be present?: ~,~,
<br />10. If so, list name, title, and phone: "
<br />p
<br />. Does the Operator wish a samp a sp it? ,,,,,, Initials:
<br />12. Will the Operator provide container? ~,;/.~ Initials:
<br />13. Are there any special arrangements to meet at site? nn
<br />14. Parameters to be Monitored: Total Suspended Solids pH /
<br />Temperature Settleable Solids Iron , i FTanganese
<br />~. Other (list): ~ii S -.--~_..elczc.-1r,<<.•~ •~-..d.,~~-t,v,-I~
<br />15. Type of Sample: Grab ~' om osite Describe ocation samp ee wT-as
<br />taken• S
<br />16. ~ Elastic
<br />Containers: containers w/o acid Size:
<br /> _
<br />/Plastic containers acidified w/HN03 Size:
<br /> _
<br />Other:
<br />17. Name & Ttt a of Persons Present wring Sampling: _~,U,,,, ^~. ,, ~ Jr~~,
<br />
<br />18. Was sample split? v
<br />19. Who Received or Denied Sp it `N•ame,Tit e, Imtia s rtC;, k 1--~, i I s r..,,.. ,-~.
<br />~,,. ~..n u.~ h'~.....M r.~ ~1 ~
<br />20. Disposition of "sample after col lection: --S «.rJ ,,.~ ~~;~E_„T
<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 />
<br />~d
<br />~' f
<br />ote: It Laboratory analysis or tn~--: ove menu ones sample i. aicates a
<br />violation of the "Water Quality Co 'ol Act", or other State or Federal water "i
<br />quality Laws, these results may be sed in the future for enforcement actions.
<br />.., ~ ~*
<br />Signature of Sampler: _
<br />Ooc. # 8683E-6 I
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