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<br />COLOP.ADO OEPAk1MENT ur= HEALTH Water~Lab No.:`9Z2:~7 ~' '-" . '
<br />Water Quaiity Control Division (From Water:lQu~T~fa; ee ~ 7~hZ'~~ ~
<br />(Sample Collected by MLRD) ,• `` ;: ,.: ~:: • ;' ~:. --.,~~ ~,~,y~ (
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<br />~~ ~.`~~ c.~~"~ ENFORCEMENT MONITORING~FA~T. SNE•ET ~ `.: f,1~. a,•.,f~':/~.(~~j'r'
<br />- 1 ,..~ , ~~ GJ~.u "t,r, .
<br />1. Name of Company: 'rr;N;~(~'(~xr;;;'Y-1;.,;;.;~!°r,2.,:NPDES Permit#:~• - - -~
<br />2a. Name of Mine: - ,~2b:: MLRR~ Permi;t~!. - - ~ : '~ ~~
<br />3: Date of Contact: t/a~ qe't ~ :: r, ~4~.~,Timen,of'Coniact:' - '~ ^: : ,
<br />5. Mine contact/title a re s; ./n..• 1IeQ~G't `rn;//.r~~s' :'~A~~~~~~~/. id.':B~,Y(p•.', ~(
<br />If3Gr6o~r V i lle~ ICy ~109r1/0 .' ~ ` ` ~' i•' "~ i_<a:°5:' ;;-`;-.: ';t: ', :_,
<br />6. Phone: Ins ector Sam er•1 ~ -
<br />8. Date an Ttme o Samp tng: 't ""` ' d•t-:.~ . ~ "' '
<br />9. Does Mine Representative wish to. .e pr sentY:; `.• ^, •'' '~~~~? ":' t ' '} ~? "~z'.
<br />_. 10. If so, list name, title, and'.phone: ~~' );- .+" '.7s.: ,=' i~"° `F-
<br />• ~ .•: , `
<br />• .: Does t e Operator;,wish a Samp. e:'sp.,.tt. , +.. ~;: ,~,,F ~ :,4_r, ntta,a:;., :.;;~'• ..' -•.. ~?.:;
<br />12. Will the-Operaf~or'provide%containerl~=' ~ ~ ~ "' "':.~ Imttals~: - ~-•: - ; ; ;
<br />13. Are there any special' ,arrangements, to. meet a•_.. tit _ ~.~,• ' + , r_t~ _
<br />14.. Parameters to be. Monitored.- ~ Total lSu'spend d,"So]Y si ~'", ,.: pH`-;'+..k.-, ,...'
<br />:Temper.ature~: - ~Settl-eable~:Sol:ids'-~ Ir•on~~ ~-~=~•._ ahganese - •'~ /.~.";,a,V(%ia~.~ a~.,
<br />... _ _
<br />- _..:15~:Type.of~Sampl`e:'-&r_a_ _ - ompos.lte':;• Desert ocat;ton~~samp e_;was -;k. ~?~ _
<br />::'?~~=-~-_ _ ,taken.:'` - ~,-~;~ _ - _ - -~. 'S_ __ N ~:;: ~S'fic -r+-~.
<br />. _ n . _ _ . _ _ _. _ _- __ ` ~~r- _ _ _ _ _ c = ~. F'e~ _.'p ?t' ~ _ ' ^--~.1 t F. d,T:~1:'~ -. L:.r
<br />" `~~'~~ .16::_Contairiers:~ -``Pl:ast,icbcontaaners w/oti'aci:d;:~ %° ~ • "`~ :Size:` _ 1"~ ^ _ rr". .• - _~ ' z±.
<br />• --.~~ • ,- ~~- ,~~`=~ %~ ~-, _ '°P1ast~c= ontainers:aci~if~ed_+~. ~ r. ,S.i ,.~ - }~,Y -
<br />'~^.S:lj~,~U1.rIC1': ,.-'a. L, :r- r ,i'_,~'(~: .... -`•~ ~ Y .. t~.-r'j-b.•. ...~.:. ...f•:~
<br />t = .. ~..-c~ ._ .. ..
<br />-_ - _ 17..-~ Name: •&'Ttt ,eso..~ersons' resent~~ urtng; am ' Ong: ~;~:(;,._ "";'+,r_ ~ __ ~ `:-:.:Ci'~:. ~ :~.a+
<br />_ -- ..__-18.Was`sample~~split - _ '=.,~.___~-_ ..~:,____ ._,- r' _ ~_'~.--- ~~'-a;ii- _~,. `~°;
<br />19 Who Received- or--Den + _ p,_7t Name.,, tt, e; "_ ttt_a ' C, " -~• ""' lY`~~ r `• +- ~~
<br />;;. ;'r . 20:~ Dtsposttton f. same. a aft;er• co, ection;ti ._. ' •': 'C,~: ~' '.-': - - ~t~~,.y~;,~~` ;A s
<br />•y ~~~ tans erred.'..r~m• --•J1:e~ ~..'".r ".,~"'~` .U: ''r' ,`Ll'~~``'~ ' -:<' • me~ ate:.e` :; ;~/ ;"' ,
<br />{~;•=;x'~. = Transferred- ~ ~'""'='=-- •' -'---:,~::.~ - :- •~, ~l '- Date: '. '~~ >~ .
<br />. ~.' Fr"om:"--r-- - -r''_,- : 0:: _ ~-+t-c T 6 f0ef :n':' ,.;..,-
<br />- ° - - Transferred From:' , " -- --`:%' ' • °To: ~ iv r~~" -; ' 'Time/Date: ri':. • • -- ~•."~'<<~"~
<br />Transferred From: Toi ~' ,~s = -" i'Time%Date:r '' ;~_"=''
<br />+ Received at: Lab by: ~ _ -' :n '~: _-r" ,~ t:..~iPje/DateC• 1--`-"" t
<br />Comments: S' :.. ~~ - tr °'y" ~~ ;~ _.~ .• c
<br />_. / _- fir. .,.;. A!. `r.
<br />-•- _. ~ d' gv~J• " "r'; is ~ .
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<br />Note: I Laboratory ana ysts o t e'a ~ove' menttone 'camp a tn, i a es a-- :.^~:~ ; ' ,
<br />violation of the "Water Quality Control Act", or,other State or Federal water
<br />quality Laws, these results~~be~use in the future for enforcement actions.
<br />Signature of Sampler: ~/,,((////~~
<br />Kw:Y~ t1 , Le ,1 ' •.• '
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