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<br />COLORADO. DEP-A~MENT OF HEALTH Water Lab No.
<br />Water QUal4rty Control Division (From Water Qua ata heet
<br />(Sample Collected by MLRD)
<br />ENFORCEMENT MONITORING FACT'SCiEET
<br />1. Name of Company I~,,•-~-„Jtvw.,,I~ ~rAQ ~~. 2. NPDES Permit#: N/-!•
<br />2a. Name of Mine: s•r~:,#o4 C'r~JF~`l ;:;,.t 2b. MLRD Permit#: C- ga c5 V
<br />3. Date of Contact: u /r /99 °~• 4. Time of Contact: lr~. y~ a-.^
<br />5. Mine contact/title%address: GGc~1 F'I~l.lti_.. F.,,,;~~,-.,,,,,-...~~„_Q L~,L,..___, r
<br />b. Phone: 7. Inspector/Sampler:
<br />8. Date an ime o amp ing: y/r /~19 r,~: elOn•.~r
<br />9. Does Mine Representative wish-td be present?: ~b
<br />10. If so, list name, title, and phone: ~.,c.k A--~;IIs
<br />. Does t e Operator wish a samp a sp it? ,,,~ Initia s:
<br />12. Will the Operator provide container? ,~ A Initials:
<br />13. Are there any special arrangements to meet at site? ~~~~
<br />14. Parameters to be Monitored: Total Suspended Solids pH ~~
<br />Temperature Settleable Solids Iron ,/TFTanganese
<br />Other (list): ~i05 ix~.cra~,.o.ll c~.a(.,t-k~~,-t
<br />15. Type of Sample: Gra J~'Composite Describ~attion samp a was
<br />taken:~~C~,,,L, ,.~.~,.__~. ~ vODF~r~-F 'cOl ~r~± ~~s6~ Cr.
<br />Ib. Containers: / Plastic containers w/o acid Size:
<br />vP~astic containers acidified w/HN03 Size:
<br />Other:
<br />17. N~me & Tit a of Persons Present During Samp ing: ~; „(- An;l ~ i,,,<„,h,n,H~,`
<br />Its. was sample•sp~l~t! ~ '
<br />19. Who Receive~dior Denie Sp it Name,Tit e, Initia s
<br />sposition of sample after collection:
<br />Transterred prom: ~,,,_,~ ~~„• ,., los
<br />Transferred From: 1 To:
<br />Transferred From. To:
<br />Transferred From: To:
<br />Received'at Lab by:
<br />Comments:
<br />Time Date: ~y%o-„ y-2-3'f
<br />Time/Date•
<br />Time/Date•
<br />Time/Date•
<br />Time/Date:
<br />Note: Laboratory ana ysis o the above mentione samp a in icates a
<br />violation of the "Water Quality Control Act", or other S~t;ate or Federal water
<br />quality Laws, these res~ultsmay~b~e~u2sed in the future for enforcement actions.
<br />Signature of Sampler: 1 u....rdL-1 I~ ~~`-~-~.
<br />i-~
<br />Doc. # 8683E-B
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