INSPEC05170

• Permit No: C1981011
• IBM Index Class Name: Inspection
• Doc Date: 5/18/2000
• Doc Name: DMG COAL INSPECTION REPORT
• Inspection Date: 5/18/2000
• Media Type: D
• Archive: No

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MINE NAME: t''tDeX IV'/1r L IMme ADDRESS: rt
OPERATOR: S~nlAr.l/t VIA~n~I'~g C~t1~rAF S•~+t~u•+/I IM1~'11h61 lt/v0~ ,
PERMITTEE: S~uLJYtC ~/G ~~ So'r1cS fit,
COUNTY: ~Q/LJ P•0 ~+3u,~c 194{°1 e5
TYPE OF OPERATION: SURFACE UNDERGROUND x LOADOUT
OWNERSHIP: FEDERAL ~C_ NON-FEDERAL
PERMIT STATUS: AC=Active, AP=Application in Review, CO=Under Cease Order,
IN=Inactive/Phase II Release, PC=Permanent Cessation, RV=Revoked,
SU=Suspendetl, TC=Temporary Cessation, OR=Other
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[C]
[C]
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[C]
MINE ID OR EXPLORATION ID NO. ~ - g _ -
INSPECTION DATE ~ s
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INSPECTOR'S INITIALS ~ a
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TIME OF DAY (MILITARY TIME) ~ 2- ~ ~ D
INSPECTION TYPE CODE G ~ CC=Coal-Complete, CP=Coal-Partial CX=Coal
Exploration, AI=Aerial, IL=Illegal Operation
POST INSPECTION CONTACTS N
JOINT INSPECT. AGENCY CODE / V
REASON FOR INSPECTION CODE
NO=None, BL=USBLM, CE=US Corps of
Engineers, CH=CoIo Health Dept, CL=CoIo Land
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)
AG=Other Agency Request, CT=Citizen Complaint,
FU=TDN Follow-up, IE=Normal 18E Program,
MU=Memo of Understanding, OF=OSM Special Focus,
ON=OSM NOV Follow-Up, OS=OSM Oversight,
PR=Pre-operational, SI=Surety Release, SR=Surety
Related
COMPANY REPRESENTATIVE PRESENT
CO. REP. SIGNATURE (FIELD ISSUANCE ONLY)
N/f~
~ ~_ (Data)
INSPECTOR'S SIGNATURE

U ' (Date)
[C] WEATHER CODE ~ L CL=Cloudy, CR=Clear, FG=Foggy, RN=Raining,
SN=Snowing, WD=Windy
INSPECTION REPORT ISSUANCE DATE SI ~ O~OO
NOTE: [C, =Required Entry
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