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<br />COLORADO DEPARTMENT OF HEALTH <br />Water Quality Control Division <br />(Sample Collected by MLRD) <br />Water Lab No. ~~? ~ Qc~~ <br />(From Water Qua a a heet <br />ENFORCEMENT MONITORING FACT SHEET <br />1. Name of Company: fb~~F,er.k <br />2a. Name of Mine: RaaDSro~ <br />3. Date of Contact: 3/z~/4~ <br />5. Mine contact/title a ress: <br />2. NPDES Permit#: <br />2b. MLRD Permit#: <br />4. Time of Conta <br />6. Phone: 47o fv~-'795 7. Inspector/Sampler: <br />8. Date an Time of Samp ing: 3 ag' 4 9 :25' 4^^ <br />9. Does Mine Representative wish to be present?: r.JR~ <br />10. If so, list name, title, and phone: >~F.~iua pQat <br />L <br />co-ooa7l46 <br />~_ <br />ct: <br />~u <br />. Does the Operator wish a sample sp it? D Initials: ~.f <br />12. Will the Operator provide container? Initials: <br />13. Are there any special arrangements to meet at site? ,v o <br />14. Parameters to be Monitored: Total Suspended Solids X pH X <br />Temperature Lc _ Settleable Solids ~ Iron -Ffanganese <br />Other (list): <br />15. Type of Sample: Grab ~, Composite _ Describe ocation camp a was <br />taken• pCrTFAtc, ooy <br />16. Containers: X Plastic containers w/o acid Size: /~ y az. <br />Plastic containers acidified w/HN03 Size: <br />Other: <br />17. Name & Tit e o Persons <br />ng Sampling: <br />Q EdrWµ Ella F'Cf"r~ /Z49DS /D l: P0.2 <br />18. Was sample split? N <br />19. Who Received or Dense Sp it Name,Tit e, Initia s ,ee-o-iuq- ~. ~~i? <br />20. Disposition of sample after co lection: GeD~ x <br />Iransterretl from: CSL P' lo: <br />Transferred From: To: <br />Transferred From: To: <br />Transferred From: To: <br />Received at Lab by: <br />Comments: <br /> <br />Ilme/Udte: 3 <br />Time/Date: _ <br />Time/Date• _ <br />Time/Date: _ <br />Time/Date: <br />Note: If Laboratory ana ysis o t e a ove mentione Samp a in states a <br />violation of the "Water Quality Control Act", or other State or Federal water <br />quality Laws, these re/su~l,ts may be used in the future for enforcement actions. <br />Signature of Sampler: ~,LJQn~-~o~. ~+.,-e~- <br />1p <br />Doc. # 8683E-B <br />