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:~ <br />COLORADO DEPARTMENT OF HEALTH Water Lab No. ?j 2 <br />Water Quality Control Division (From Water Qum. ata heet <br />(Sample Collected by MLRD) <br />ENFORCEMENT MONITORING FACT SHEET <br />1. Name of Company: G ,.sOrcC` 2. NPDES Permit#`:~n ~~3.3~5- <br />2a. Name of Mine: Cin,.,cn,~/ r~l( 2b. MLRD Permitl(: C ul-o~~l <br />3. Date of Contact: '! j~-/o-13 4. Time of Contact: I/:ys~,.,, <br />5. Mine contact/title a ress: k~~ I lr ,o L,l~r - Enr.~ron.•.r•,1../ S.cet~.nlo.- <br />6. Phone: 3S' ~ 1. Inspector/5ampier: ~-Fevc 5l,ue~/ <br />8. Date an~~fime o wing: ~-ro-4~ /i~ys~~ <br />9. Does Mine Representative wish to be present?: ~c N< <s Ke-.bv <br />10. If so, list name, title, and phone: <br />. Does t e Operator wish a sample sp it? ~t/o Initia s: 5 SS <br />- <br />12. Will the Operator provide container? i!/o Initials: <br />~ <br />13. Are there any special arrangements to meet at site? ,,,/ o <br />14. Parameters to be Monitored: Total Suspended Solids x pH ~ <br /> Temperature Settleable Solids Iron ~ anganese <br /> Other (list): <br />15. Type of Sample: Gra Composite Descri a ocation samp a was <br /> _ <br />taken: <br />16. Containers: ~ Plastic containers w/o acid Size: / <br />~ Plastic containers acidified w/HN03 Size: ~~.~ <br />Other: <br />17. Name & Tit a of Persons Present During Samp ing: ~r/or, <br />18. Was sample split? <br />1g. Who Received or Den <br />e, initials <br />20. Disposition of sample after co ection: ~~, r <br />iransrerrea rrom: Tp; lime/uate:Y /o -9~ <br />Transferred From: To; Time/Date: <br />Transferred From: To; Time/Date: <br />Transferred From: To• Time/Date: <br />Received at Lab by: Time/Date: <br />Comments: 5a,1,p ~ ~/ , ~~~ g3C7SlO, d - <br /> <br />ote: it Laooratory analysis of the~ove mentioned sample inaic <br />violation of the "Water Quality Control Act", or other State or <br />quality Laws, these results may be used in the future for enfor~ <br />Signature of Sampler: <br />Doc. # 8683E-B <br />