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I <br /> <br />O4 COQ III IIIIIIIII IIII III <br />„~%RRR''' ___ """44q~ COLORADO DIVISION OF MINERALS AND GEOLOGx <br />~. COAL INSPECTION REPORT <br />~ IB)F. ~ <br />NA <br />C <br />~' <br />~ <br />~ <br />~ <br />~ DRESS <br />-i <br />r <br />./UC. <br />MINE <br />ME: / <br />J <br />I : <br />AD <br />OPERATOR: <br />L ~/r"'YYV~ G/Q~wg/~>. /~"C. <br />{'1~G <br />L <br />~+ <br />~" / <br />Ili W~ k ~A. I ~ , <br />PERMITTEE: ~ <br />(p <br />f <br />/ ' <br />7 /t7 <br />/ <br />S, ~ <br />~L <br />.. <br />~y4,.P <br />t.2 <br />/ <br />COUNTY: !~ S~ r0. S `/ <br />1 <br />L-~1L"(~ ? f <br />n <br />l <br />, <br />p <br />ffL. W D ~ ~ ~ Z <br /> <br />TYPE OF OPERATION: SURFACE ~ UNDERGROUND LOADOUT <br />OWNERSHIP: FEDERAL NON-FEDERAL <br />PERMIT STATUS: AC=Active, AP=Application in Review, CO=Under Cease Order, <br />IN=Inactive/Permanent Cessation, RV=Revoked, SU=Suspended, <br />orary Ces <br />TC =Temp sation, OR =Other <br />+ <br />[C] MINE ID OR EXPLORATION ID NO. C - ~ D ~ ~ - <br />~ - <br />lC] INSPECTION DATE D Z/ Z p <br />O/ / 7 <br />lC] INSPECTOR'S INITIALS ~ ~ ~ <br /> <br />lC] TIME OF DAY (MILITARY TIME) ~ ~ / ~i <br />J 0 <br />IC] INSPECTION TYPE CODE C ~ CC=Coal-Complete, CP=Coal-Partial CX=Coal <br /> Exploration, AI=Aerial, IL=Illegal Operation <br />^ / <br />POST INSPECTION CONTACTS /~/ ~ NO=None, BL=USBLM, CE=US Corps of <br /> <br />~ Engineers, CH=CoIo Health Dept, CL=CoIo Land <br />JOINT INSPECT. AGENCY CODE <br />~ Board, CT=Citizen, CW=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 Resources) <br />[C] REASON FOR INSPECTION CODE ~ E AG=Other Agency Request, CT=Citizen Complaint, <br /> FU=TDN Follow-up, IE=Normal I&E Program, <br /> MU=Memo of Understanding, 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 />COMPANY REPRESENTATIVE PRESENT <br />/1 a ~ 2 _ <br />CO. REP. SIGNATURE (FIELD ISSUANCE ONLY) <br />%,- ~~no_ `~ (Date) <br />INSPECTOR'S SIGNATURE ______l~ I~?.~ l /I'~"~^~ ']/Z7,~7 <br />'~I (Datel <br />[C] WEATHER CODE ~ ~ CL=Cloudy, CR=Clear, RN=Raining, <br />SN=Snowing, WD=Windy <br />INSPECTION REPORT ISSUANCE DATE Z 2 7 <br />NOTE: ICI =Required Entry <br />WHITE -File YELLOW -Operator PINK -Specialist <br />