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III. COMMENTS -COMPLIANCE Belaiw are oorm~anh an tha inspadior~ The cannanh FrLde dsant•on d o6servdtoru mode cl+Fg the 6gpecflon. Commanh aho dasv~e any enfaroertient actions h~oen dutng the Uupedion and the toots d evidence suppaAirg the enlacernant action. Rule Description Remarks Blast Record Number / ,Page / of ~ 4.08.5(1) Name of operator Co /o w1s ~•~ [, c • /' , 4.08.5(2) Location of blast ,r n: r , ~ "r ~r 4.08.5(2) Date of blast a/ iv u / 4.08.5(2) Time of blast y ; s>r , ,,, 4.08.5(2) Name of blaster in charge h,~/ tai/, ~~e.-..- 4.08.5(3) Signature of blaster-in-charge , , r 4.08.5(3) License of blaster-in~harge ~ _~~ _ ~ 4.08.5(4) Identification of nearest dwelling ~ „, (,,,,~ 4.08.5(4} Direction of nearest dwelling from nearest blast hole rF 4.08.5(4) Distance to nearest dwelling from nearest blast hole `/ 2 sa ~ 4.08.5(5) Temperature ,~ .. e 4.08.5(5) Wind direction s /V 4.08.5(5) Wind velocity ~ s- 4.08.5(6) Type of material blasted ~ ~ , f 4.08.5(7) Sketch w/number of holes ~ ~ 4.08.5(7) Sketch w/burden Z i 4.08.5(7) Sketch w/spacing , r s ~ 4.08.5(7) Sketch w/delay pattern I ~ J 4.08.5(8) Sketch showing decking q/e„~ ~ 4.08.5(9) Diameter of holes ~ " 4.08.5(9) Depth of holes ,s y~,/,,,~ ay,~ y, 7 4.08.5.(10} Type of explosives used p,,, ~ ,.y,y fo ~ ~,,~,, 4.08.5(11) Weight of explosives per hole (hole 1)' ~Y ~ 4.08.5(11) Weight of explosives per hole (hole 2)' y : . 4.08.5(11) Weight of explosives per hole (hole 3)' c z 4.08.5(11) Weight of explosives per hole (hole 4)' ,, s , 4.08.5(11) Weight of explosives per hole (hole 5)' y z y 4.08.5(11) Weight of explosives per hole (hole 6)' J ~ 4.08.5(11) Weight of explosives per hole (hole 7)' >q ~ 4.08.5(11) Weight of explosives per hole (hole 8-' 4.013.5(11) Weight of explosives per hole (hole 9)' 4.08.5(11) Weight of explosives per hole (hole 10)' Page 8 of [~ Pages, Date Z / 1;~ ° ~ .Initials ~_