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COLORADO DEPARTMENT OF HEALTH Water Lab No. 6Sa2 7 y <br /> Water Quality Control Division (From Water QuaData heet <br /> (Sample Collected by MLRD) =~~ <br /> ENFORCEMENT MONITORING FACT SHEET _ LAI oe P4h'r <br /> 1 . Name of Company: Rl-Sources 2. NPDES Permit#: 3(71,363W �z <br /> 2a.--Name of Mine: c'oa/ Rash 2b. MLRD Permit#: C-_Rf-0j7 <br /> 3. Date of Contact: 10 / ,3 4. Time of Contact: e:oo <br /> 5. Mine contact/title/address: Lpwi �to�ps�i, �q✓>�onaJfir � �a �� d <br /> 6.jhone: : 7. Inspector/Sampler: otr o <br /> 8. Date- and Time of Sampling: /0//8'/90 l= 2o PM <br /> 9. Does Mine Representative wish to be present? : UPs <br /> 10. If so, list name, title, and phone: L�w ThoMp „�o�� l <oor?lr;y� <br /> icY' (e►cf E'S94�CPr • <br /> . Does t e.Operator wish a sample split? 11•16S Initials: <br /> 12. Will the Operator provide container? 11V19 Initials: <br /> 13. Are there any special arrangements to meet at site? Alq <br /> 14. Parameters to be Monitored: Total Suspended Solids pH <br /> Temperature Settleable Solids Iron anganese <br /> Other (list) : <br /> 15. Type' of.Sample:, Grab Composite Describe location sample was <br /> taken: <br /> 16. Containers: Plastic containers w/o acid Size: !-�ter <br /> Plastic containers acidified w/HNO3 Size: <br /> Other: <br /> 17. Name & Title of Persons Present During Sampling: LewTfom,%-n,, Epy;romminm ,/ <br /> cp;p 05M Recllim�wl�crlSr <br /> 18. Was sample split? <br /> 19. Who Received .or-Denied Sp it Name,Tit e, Initials) : -* <br /> : LPw 7 ,wo7, <br /> Ft,,Wnoy-rtal C�ord�� a` <br /> 20. Disposition of sample after col Iection: --C'red fr ,(Qe a9d o/r0wpa/ -ra <br /> C' D ff fa b PM <br /> Transferred From: Ldrr.,, Rozren To: Time/Date: <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: <br /> IrOv� hNote: I Laboratory ana ysis o the above mentioned samp e in icates a `0 1z -violation of the "Water Quality Control Act" , or other State or Federal _ <br /> quality Laws, these results may be used in the future .for enforcement aciuip'S. o j�CD <br /> tr. <br /> z ;ate <br /> Signature of Sampler: <br /> Doc. # 8683F-B <br />