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pF CO~~ <br />ya'9 ~~ <br />COLORADO DIVISION OF MINERALS AND GEOLOGY <br />COAL INSPECTION REPORT <br />Y X876 ~` <br />MINE NAME: Qawl~ ~~ ADDRESS: 6rL-1-- QE/)~ <br />OPERATOR: ,r3owlE JeEsOU.2C~5 ~T-D QowtE i2ESatiR(~S L'T.L~ <br />PERMITTEE: - SA/t'~E '" P D - ~ oX y 8 3 <br />COUNTY: Q ~ L~'~ ~A o/V 1 H ~ Gd ~ S! / ~1 ZG <br />TYPE OF OPERATION: SURFACE UNDERGROUND ~ LOADOUT <br />OWNERSHIP: FEDERAL ~_ NON-FEDERAL <br />PERMIT STATUS: ~„_ AC=Adive, AP=Application in Review, CO=Under Cease Order, <br />IN=lnadive/Phase II Release, PC=Permanent Cessation, RV=Revoked, <br />SU=Suspended, TC=Temporary Cessation, OR=Other <br />[C] MINE ID OR EXPLORATION ID NO. C - 9 6 - ~ 8 3 -_ <br />[C] INSPECTION DATE Q ~/~ F / ~ ? <br />[C] INSPECTOR'S INITIALS T <br />[C] TIME OF DAY (MILITARY TIME) © S' ~ Pi <br />[C] INSPECTION TYPE CODE C ~ CC=Coal-Complete, CP=Coal-Partial CX=Coal <br />Explorffiion, AI=Aerial, IL=Illegal Operation <br />POST INSPECTION CONTACTS tN ~ NO=None, BL=USBLM, CE=US Corps of <br />Engineers, CH=CoIo Health Dept, CL=CoIo Land <br />JOINT INSPECT. AGENCY CODE N ~ Board, CT=Citizen, CW=CoIo Wildlife, DE=U.S. <br />Energy, DW=US Wildlife, FS=U. S. Forest Service, <br />HW=CoIo Highway Dept, OS=OSM, SE=State <br />Engineer (Water Resources) <br />[C] REASON FOR INSPECTION CODE ~ ~ AG=Other Agency Request, CT=Citizen Complaint, <br />FU=TDN Follow-up, IE=Normal 18E Program, <br />MU=Memo of Understanding, OF=OSM Spedal Focus, <br />ON=OSM NOV Follow-Up, OS=OSM Oversight, <br />PR=Pre-operational, SI=Surety Release, SR=Surety <br />Related <br />COMPANY REPRESENTATIVE PRESENT <br />L3~ L- L _ 13 E ~ >'2- I ~J _---- <br />CO. REP. SIGNATURE (FIELD ISSUANCE ONLY) 1~ /Jf <br />(Date) <br />INSPECTOR'S SIGNATURE <br />[C] WEATHER CODE <br />C c- <br />CL=Cloudy, CR=Clear, FG=Foggy, RN=Raining, <br />SN=Snowing, WD=Windy <br />INSPECTION REPORT ISSUANCE DATE t-I ~ l~~I ~ Z <br />NOTE: [C] =Required Entry <br />WHITE -File YELLOW -Operator PINK -Specialist <br />