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-. ~- ~ ~~~~•~~IIIIIIIIIIIIIIIIIII <br /> <br />COLORADO DEPARTMENT O F HEALTH ~ Water Lab No. <br />Water Qu ality Control _ <br />Division ~ (From Water Qua a a eet <br />(Sample Collected by MLRD) <br /> ENFORCEMENT MONITORING FACT SHEET <br />1. Name of Company: ~,~„~-~ ~,~} /y,,,,,,, ~C ~. 2. NPDES Permit#:CCi-GC;CC~13~ <br />2a. Name of Mine: S ~ rv ~ c S~ I ,,,~_ 2b. MLRD Permit#: ~-- ~/-~~a <br />3. Date of Contact: U • "7- ~ ? 4. Time of Contact: <br />5. Mine contact/title a ress: ~~~ r ln~< <c L, or (;~)a~~~r c:J r.nL; <br />a. rnone: c3 3-e(. -~ r' i. Inspector/~ampier: S•t e ~ e ~~H u e ~/ <br />8. Date an time-of Samp tng: tC'-~7 -93 /`IS"~' h~~ <br />•9. Does Mine Representative wish to be present?: ~yr7 <br />10. If so, list name, title, and phone: <br />. Does the Operator wish a sample sp it? yr/ Initia s: ~- <br />12. Will the Operator provide container? yr; Initials: <br />13. Are there any special arrangements to meet at site? ir/O <br />14. Parameters to be Monitored: Total Suspended Solids X pH ?C <br />Temperature Settleable Solids Iron )( Fianganese <br />Other (list): <br />15. Type of Sam~+• Grab ~ Composite _ Describe ocation sap a was <br />taken: F le.~rh r n~.n n~?r~hir /1 C41)~~J c.v O i"7r /~Q <br />ner5: ~ YIdSL 1C correainers W/0 aC7U J1Ze: /L- <br />~_ Plastic containers acidified w/HN03 Size: ~ <br />Other: <br />17. Name b Tit a of Persons Present During Sampling: <br />18. was sample split? <br />19. Who Received or Den <br />e, <br />aisJ: --- <br />20. Disposition of sample after collection: ,.,F , I~~ <br />iransrerrea rrom: ~ ~ A h/E io: <br />Transferred From: To: <br />Transferred From: To: <br />Transferred From: To: <br />Received at Lab by: <br />Comnen_ts: ~nw. n p s/n. (J 2. <br />a-ime/uate: <br />Time/Date: <br />Time/Date: <br />Time/Date: <br />Time/Date: <br /> <br /> <br />Note: I Laboratory ana ysis o t e a ove mentione samp a in icates 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: /J~.~~~~--~ <br />Doc. # 8683E-B <br />