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MINE NAME: QOUC(,f; de ~Dr ~i ~. Sou ll /~rR ~f <br />OPERATOR: ~w ct'er~torn Cz,4 ~ ~ <br />PERM ITTEE: .~, r.., <br />COUNTY: <br />ADDRESS: <br />00- ~oX /~f~3o <br />~aliracle_ l'~~ ~~.r~-~a <br />TYPE OF OPERATION; SURFACE UNDERGROUND ~ LOADOUT <br />OWNERSHIP: FEDERAL ~- NON-FEDERAL <br />PERMIT STATUS: ~-C_ AC=Active, AP=Application in Review, CO=Under Cease Order, <br />IN=lnactive/Permanent Cessation, RV=Revoked, SU=Suspended, <br />7C=Temporary Cessation, OR=Other <br />[C] MINE ID OR EXPLORATION ID NO. G - c~ ~ - O ~ ~ - <br />[C] INSPECTION DATE f O / ~ `i / <br />[C] INSPECTOR'S INITIALS ~ T <br />[C] TIME OF DAY (MILITARY TIME) ~ O : ~ ~ <br />[C] INSPECTION TYPE CODE _C ~ CC=Coal-Complete, CP=Coal-Partial CX=Coal <br />~r Exploration, AI=Aerial, IL=Illegal Operation <br />POST INSPECTION CONTACTS /j'v <br />JOINT INSPECT. AGENCY CODE ti ~ <br />[C] REASON FOR INSPECTION CODE Z !~ <br />COMPANY REPRESENTATIVE PRESENT <br />NO=None, BL=USBLM, CE=US Corps of <br />Engineers, CH=CoIo Health Dept, CL=CoIo Land <br />Board, CT=Citizen, CVJ=CoIo Wildlife, DE=U.S. - <br />Energy, DW=US Wildlife, FS=U.S. Forest - <br />Service, HW=CoIo~Highway Dept, OS=OSM, ~--~- <br />SE=State Engineer (Water Resourcesl_~ - <br />_l <br />AG=Other Agency Request, CT=Citizen Complaint, <br />FU=TDN Fallow-up, IE=Normal I&E Program, <br />MU=Memo of_Unde[standing, OF=OSM Special <br />Focus, ON=OSM NOV Follow-Up, OS=OSM Over- <br />sight, PR=Pre-operational, SI=Surety Release, __ <br />SR=Surety Related <br />- - - - - - - - - - - - - - - - - - - - <br />CO. REP. SIGNATURE (FIELD ISSUANCE 0 Y) <br />(Date) <br />INSPECTOR'S SIGNATURE I~ s P7 <br />(Date1 <br />IC] WEATHER CODE ~ ~ CL=Cloudy, CR=Clear, RN=Raining, <br />SN=Snowing, WD=Windy <br />INSPECTION REPORT ISSUANCE DATE ~ -s <br />NOTE: IC] =Required Entry <br />WHITE -File YELLOW -Operator PINK -Specialist <br />