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y ~ ~ ~ f: • a.i. <br />..i y' ' <br />~ '3. • <br />~ ~ ~ ~~ / <br />COLORADO DEPARTMENT OF HEALTH -, Water-Lab No. <br />Water Quality Control Division ~ --~' (From Water Qua a a hee <br />(Sample Collected by MLRD) <br />.ENFORCEMENT MONITORING FACT SHEET <br />1. Name of Company: ~j r ,,, n C 2. NPDES Permit#:CQ-CY.Cnl3~ <br />2a. Name of Mine: So r•i ~ ,~ 2b. MLRD Permit#: ~--~/-ca.a <br />3. Date of Contact: p ~ - ? 4. Time of Contact: <br />5. Mine contact/title a ress: B,\1 rL,,.r,cL, er fa l,l~dr W~- <br />u. Pnone:3o3-c(~c(-J't;,1~ i. Inspector/Sampler: Sde~e SG,ue/ <br />_ 8. Date an~~ime of Sing: _ _ ld-~7 -93 ~`fS"~ hr•~ <br />~9. Does Mine Representative wish to be present?: yp <br />10. If so, list name,, title, and phone: <br />. Does the Operator wish a sample sp it? ~y~ Initia s: ~--- <br />12. Will the Operator provide container? ti~ Initials: , <br />13. Are there any special arrangements to meet at site? A/O <br />14. Parameters to be Monitored: Total Suspended Solids X pH <br />Temperature Settleable Solids Iron (-Manganese <br />Other (list): <br />15.:Type of Sam~• Grab , X Composite _ Descri a ocation sarpp a was <br />taken: P (~atn ~'~,, .,~ .•,nrdL. ~.n cni~~~~~" n ~t•no <br />Other: <br />17. Name 8 <br />ners: ~ Plastic containers w/o acid Size: ~L <br />~ Plastic containers acidified w/HN03 Size: ~~ <br />Its. was sample split: <br />19. Who Received or De <br />cu. uispostxion of sample <br />Transferred From: ~Ja SI <br />-Transfer"red-Frdm-•<- _ <br />Transferr~~ <br />Transferre ro <br />~ Received at Lab <br />Comments: <br />Smnalsl• <br />collection• 1Gp, <br />To: <br />To: <br />To• <br />02~ 93 l~l~ <br />A =Q.1 Ta ,.~ n <br />.t-ime/uate: <br />Time/Date: <br />Time/Date: <br />Time/Date: <br />Time/Date: <br />Note: If Laboratory ana ysis o t e a ove mentioned 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: /~~~ ~-~ " <br />wring Sampling: <br />Doc. # 8683E-6 <br />