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...... .~,.. .r - .,,.w. ... 4i~ .rew~r ....-r r • • Ill IIIIIIIiIIIII iiI 999 COLORADO DEPARTMENT OF HEALTH Water Lab No. Water Quality Control Division (From Water Qua Data Sheet (Sample Collected by MLRD) ENFORCEMENT MONITORING FACT SHEET 1. Name of Company: ~,, ..~;~\~. ss L.<,wti 2. NPDES Permit#: CU -oc!~ 7SE~ ~ 2a. Name of Mine: JV,ck ,~,, _ ~F~ rk- 2b. MLRD Permit#: C ~-'-S-c~~ 3. Date of Contact: S/1 y/H6 4. Time of Contact: /~/' 00 5. Mine contact/title a ress: 7,,,, fl,tt_ ne: y6,5-~5~yo r. Inspector/Jamp~er: 8. Date and Time of Sampling: /•i</S x/27/96 r 9. Does Mine Representative wish to be present?: ,~i 10. If so, list name, tit]e, and phone: T~~k.•~ od//.P ~cc,~~~r. , 11. Does"the Operator wish a sample split? ~~~ s Initials: ,"- r- 12. Will the Operator provide container? roi Initials: z-:- ,t ~ 13. Are there any special arrangements to meet at site? ~ ~ 14. Parameters to be Monitored: Total Suspended Solids pH ,p Temperature ,,.$"F Settleable Solids Iron Manganese Other (list): 15. Type of Sample: Grab Composite Describe ocation samp a was taken: c1F <,c~+a~rre r.~F.¢~ of /1~c>. ~ /hir~L , 16. Containers: Plastic containers w/o acid Size: Plastic containers acidified w/HN03 Size: Other: 17. Name & Title of Persons Present During Sampling: 7., r /J , ~ 18. Was sample split? PS 19. Who Rece//ived or Denied Split Name,Tit e, Initia s 7„/.- i/,rY, sposiLion or sample arLer collection: N /a c.ur`~n Transferred From: To: Time/Date: Transferred From: Toe Time/Date: Transferred From: To: Time/Date: Transferred From: To: Time/Date: Received at Lab by: .%, ;;,~,_y.r-~ Time/Date: - .~ '~ Comments: Note: I Laboratory ana ysis o the above mentioned samp a in icates a violation of the "Water Quality Control Act", or other State or Federal water quality Laws, these resu its maybe used in the future for enforcement actions. i; // Signature of Sampler: ( C!-G`1i~ :~._~ Z";!y'-~~/ Doc. # 8683E-B c.