INSPEC04172

• Permit No: C1996084
• IBM Index Class Name: Inspection
• Doc Name: Inspection Report
• Inspection Date: 5/22/2003
• Media Type: D
• Archive: No

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, COLORP.JO DIVISION OF MINERALS AND GEOLOGY
*xf~* COAL INSPECTION REPORT
MINE NAME: // ~__ _- Vv ADDRESS:
OPERATOR:
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PERMITTEE: //___ /~J]~~
COUNTY: ~S" ~J321YwctS
TYPE OF OPERATION: SURFACE f` UNDERGROUND LOADOUT
OWNERSHIP: FEDERAL NON-FEDERAL ~C
PERMIT STATUS: _~ AC=Active, AP=Application in Review, CO=Under Cease Order,
IN=lnadive/Phase II Release, PC=Permanent Cessation, RV=Revoked,
SU=Suspnended, TC=Temporary Cessation, FOR/=Other
[C] MINE ID OR EXPLORATION ID NO. ~! - ~ ~ - D ~ ~` - _ _
[C] INSPECTION DATE C> S/ Z Z / © 3
[C] INSPECTOR'S INITIALS ~ ~-~p
[C] TIME OF DAY (MILITARY TIME) © ! ~ D
[C] INSPECTION TYPE CODE ~ C CC=Coal-Complete, CP=Coal-Partial CX=Coal
Exploration, AI=Aerial, IL=Illegal Operation
POST INSPECTION CONTACTS ~ ~ NO=None, BL=USBLM, CE=US Corps of
Engineers, CH=CoIo Health Dept, CL=CoIo Land
JOINT INSPECT. AGENCY CODE ~ ~ Board, CT=Citizen, CW=CoIo Wildlife, DE=U.S.
Energy, DW=US Wildlife, FS=U. S. Forest Service,
HW=CoIo Highway Dept, OS=OSM, SE=State
/ Engineer (Water Resources)
[C] REASON FOR INSPECTION CODE / ~ AG=Other Agency Request, CT=Citizen Complaint,
FU=TDN Follow-up, IE=Normal I&E Program,
MU=Memo of Understanding, OF=OSM Special Focus,
ON=OSM NOV Follow-Up, OS=OSM Oversight,
PR=Preoperational, SI=Surety Release, SR=Surety
Relatetl
COMPANY REPRESENTATIVE PRESENT
CO. REP. SIGNATURE (FIELD ISSUANCE ONLY) ~. -~
(Date)
INSPECTOR'S SIGNATURE ~ ZZ~b3
(Date)
[C] WEATHER CODE ~ ~_ CL=Cloudy, CR=Clear, FG=Foggy, RN=Raining,
SN=Snowing, WCD=V~findy
INSPECTION REPORT ISSUANCE DATE ,) ZZ-D,3
NOTE: [C) =Required Entry
WHITE -File YELLOW -Operator PINK - Spedalist
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