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COLOkPDG MIrJED LAND RECLAMATI:~N ..,:;I~[Ud <br />^^~~ COAL INSPECTION REPGkT <br />Mine Name: ~n , ~S~ ffe /tn Mi'.~.a.. <br />Operator: ~/~~ ~~S /fil~niil Co, <br />Permi ttee: '- Sci rn.~ - <br />County: LG~S /m~~~^~S <br />type of Operation: (i(nceer~n,utiof f ~r~/a><c- <br />LCJ <br />LCJ <br />LCJ <br />LCJ <br />LCJ <br />LCJ <br />LCJ <br />,~.ddress: <br />iii iiiiiii>'iiiii-ii <br />Ch~S rr ~/.r.~-FS /~t in i.15 Co . <br />/~ D, ~~>r 'f~f 9 <br />/~rcKC.e, ~o ~/22-G <br />MIIJE ID # OR EXPLORATION ID #....... C- - ~ Z - B S 5 - <br />P F 16T ~ i 6Z PT'7D~ ~[-T'3 <br />INSPECTION DATE............ Q ~ / p ~' / ~ 3 thru Q /f / / D / ~ 3 <br />IIJSPECTOR'S INITIALS....... ~/ /~- LS: WP1rG User IO - Use Initials witn <br />no Gunctuation marks or spaces) <br />TIME OF DAY (MILITARY TIME)... ~ ~ S~ <br />INSPECTION TYPE CODE.......... G G LCL-IN: CC=Coal - Complete, Cp=Coal - <br />- Partial, CX=Coal Exploration, <br />IL=Illegal Operation] <br />PGST INSPECTION CONTACTS...... rI ~ LCL-AG <br />JOINT INSPECTION AGENCY CODE.. N Q <br />NO=None, BL=U. 5.8 LM, <br />CE=U. S.Corps. of Engineers, <br />CH=Colo. Health Dept., <br />CL=Colo. Land Board, <br />CT=Citizen, CW=Colo. Wildlife, <br />DE=U.S.Energy, <br />OW=U.S.wil dlite, FS=U. S. Forest <br />Service, Ffil=Colo. Highway <br />Dept., OS =OS M, SE=State Engr. <br />(Water Resources), OR=Other] <br />REASON FOR INSPECTION CODE.... ~ ~ lCL-RS <br />AG=Other Agency Request, <br />OT=Citizen Complaint, FU=OSM <br />10 Day Notice Follow-up, <br />IE=Normal I&E Program, MU=Memo <br />Of Understanding, OR=Otlier, <br />SI=Surety-Related) <br />CO. REP. PRESENT.. I/ D if L <br />---------------LZII~aces~fa~ <br />CO. REP. SIGNATURE (FIELD 15SUANCE ONLY) <br />WEATHER CODE .................. C R LCL-WE <br />NOTE: LCJ = Required Entry. <br />WHITE - File YELLOW -Operator <br />CL=Cloutly, CR=Clear, <br />RN=Raining, SN=Snowing, <br />WD=Windy, OR=Other) <br />pIWK - Specialist <br />