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III I II I IIIII IIII ill ~F ~~~'B
<br />~.:
<br />MINE NAME:
<br />OPERATOR:
<br />PERMITTEE:
<br />COUNTY:
<br />.,,.JERGROUND
<br />TYPE OF OPER,,,,.,,..
<br />OWNERSHIP: FEDERAL
<br />ADDRESS:
<br />NON-FEDERAL
<br />LOADOUT
<br />PERMIT STATUS: _~ AC=Active, AP=Application in Review, CO=Under Cease Order,
<br />[Cl
<br />[CI
<br />[CI
<br />lC]
<br />[C]
<br />[C]
<br />IN=Inactive/Permanent Cessation, RV=Revoked, SU=Suspended,
<br />TC=Temporary Cessation, OR=Other
<br />MINE ID OR EXPLORATION ID NO. C - ~ ~ - ~ $ ~ - _
<br />INSPECTION DATE Q (~ /^~ ~ /
<br />INSPECTOR'S INITIALS _~ S G
<br />TIME OF DAY (MILITARY TIME) ~ lY ~ S.L
<br />INSPECTION TYPE CODE ~~ CC=Coal-Complete, CP=Coal-Partial CX=Coal
<br />Exploration, AI=Aerial, IL=Illegal Operation
<br />POST INSPECTION CONTACTS ',N
<br />JOINT INSPECT. AGENCY CODE Y V
<br />REASON FOR INSPECTION CODE
<br />COMPANY REPRESENTATIVE PRESENT
<br />~ I Chc~e.Q~fUn/l ~ (G-
<br />CO. REP. SIGNATURE (FIELD
<br />INSPECTOR'S SIGNATURE
<br />NO=None, BL=USBLM, CE=US Corps of
<br />Engineers, CH=CoIo Health Dept, CL=CoIo Land
<br />Board, CT=Citizen, CW=CoIo Wildlife, DE=U.S.
<br />Energy, DW=US Wildlife, FS=U.S. Forest
<br />Service, HW=CoIo~Highway Dept, OS=OSM,
<br />SE=State Engineer (Water Resources)
<br />AG=Other Agency Request, CT=Citizen Complaint,
<br />FU=TDN Follow-up, IE=Normal I&E Program,
<br />MU=Memo of Understanding, OF=OSM Special
<br />Focus, ON=OSM NOV Follow-Up, OS=OSM Over-
<br />sight, PR=Pre-operational, SI=Surety Release,
<br />SR =Surety Related
<br />/~ _ IDatel
<br />ICI WEATHER CODE CL CL=Cloudy, CR=Clear, RN=Raining,
<br />SN=Snowing, WD=Windy
<br />INSPECTION REPORT ISSUANCE DATE ~~~~'
<br />NOTE: [CI =Required Entry
<br />COLORADO DIVISION OF MINERALS AND GEOLOGY
<br />COAL INSPECTION REPORT
<br />.,.,, „
<br />WHITE -File YELLOW -Operator PINK -Specialist
<br />
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