ENFORCE28080

• Permit No: C1981048
• IBM Index Class Name: Enforcement
• Doc Date: 9/24/1992
• Doc Name: WATER QUALITY DATA DISCHARGE SAMPLE
• Violation No.: CV1992029
• Media Type: D
• Archive: No

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COLORADO DEPARTMENT OF HEALTH ~ Water Lab-No. cJ'2 3 y76
~_ .Water Quality Control Division ~ (From Water Qua.. ata ee
(Sample Collected by.MLRD) ; , -, ~ •'
3
ENFORCEMENT MONITORING FACT SHEET
1. Name of Company:7,¢i+,~oAO F
2a. Name of Mine: ~,N, „~
3. Date of Contact
5. Mine contact/title a ress:
2. NPDES Permit#: Co-oo3-633j
2b. MLRD Permit#: C-Zl-ot~g
4. Time of Contact: a: oo ~m
AS=uc~SiCS lGyS Cov,QT P,_,oCl` 54r7E 3J9 DENVER c0 . p10Z
6. Phone: .Inspector/Samp er: o c p ~nn:H
8. Date an ime o amp ing: Tuc.y ~9.~9v~ D:oo Pm
9. Does Mine Representative wish to e.present?: a o
10. If so, list name, title, and phone: '
i~. uoes the uperator wish a sample split?. N //! Initials:
12. Will the Operator provide container? N/A Initials:
13. Are there any special arrangements to meet at site? N o
14. Parameters .to be Monitored:. Total Suspended Solids pH ~ .. -~
Temperature Settleable Solids . X Iron ~~anganese
' Other, (list):
: 15. Type of Sample: Gra omposite - Descri a ocation samp a was
- • -taken: .. ,. -_.
~_ 16. Containers: .• a, Plastic containers w/o acid ° ~. Size:;/ c.-c% ':
.,_-, ~ .__!L_ Plastic'container`s.:acidified;w/HN03~, :~_ ; Size: I-~,Te~;
Y •Other: - - - - ~ - - ~.:. - -
17. Name &. it e o -Persons Present During Samp ing: ~E vons/!: ~c«TmAr,anf.
SPc~rnt,ST ~ c/nLRD
18. .Was sample split? N o
19. Who Received or Denie Sp it Name, it e, nitia s OPE~en-roR ~+oT P~esa,vT

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cu. uisposinon oi- sample aster collection: Icc/~ +,v Cootc2
transferred
Transferred rrom: p„_ ~
From: I To: .1J, (~gv
To: ~, Time/Date:. '7=~d-92 /3:~.?
Time/Date:
-Transferred From: ~' To: Time/Date:
Transferred From: o: Time{Date:
Received at Lab by: Time/Date:
Comments: Fbw RnTE , a 5 r Pn,

_.~A,/D No ~ 0 4 3 0 /
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IVOte: li LdbOrdtory dndlySiS Of the dbbve fllEfntloned Sample 1ndlCateS a
violation of the "Water Quality Control Act", or other State or Federal water
quality Laws, these results may be used in the future for enforcement actions.
Signature of Sampler: ;~„~~ `; I~,,,~,,,,Q
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DOC..# 8683E-B U ~ `_~-=_±.~~I~ SFr^Ic:; r~•~T