INSPEC12147

• Permit No: C1981033
• IBM Index Class Name: Inspection
• Doc Name: Inspection Report
• Inspection Date: 6/16/2004
• Media Type: D
• Archive: No

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MINE NAME: n/~i~c/J li No.
OPERATOR: /.7 6/iR Cb~} L
PERMITTEE: •~M ~
O DIVISION OF MINERALS AND GEOLOGY , /
COAL INSPECTION REPORT VVV
3 /+11A/E ADDRESS:
o P N l.3 E/iR co~9 L ca/'nPflrry
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COUNTY: GtrNN-SAN P/~ONlA GO. S I yZ $
TYPE OF OPERATION: SURFACE UNDERGROUND ~_ LOADOUT
OWNERSHIP: FEDERAL ~ -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=Suspended, TC=Temporary Cessation, OR=Other
[C] MINE ID OR EXPLORATION ID NO. C- g ~- O 3 3 -_ -
[C] INSPECTION DATE ~ G / ~ ~ / O
[C] INSPECTOR'S INITIALS ~ ~ D
[C] TIME OF DAY (MILITARY TIME) 1 ~ a 5
[C] INSPECTION TYPE CODE C p

POST INSPECTION CONTACTS ~ ~
JOINT INSPECT. AGENCY CODE N ~

[C] REASON FOR INSPECTION CODE 1 E

CC=Coal-Complete, CP=Coal-Partial CX=Coal
Exploration, AI=Aerial, IL=Illegal Operation
NO=None, BL=USBLM, CE=US Corps of
Engineers, CH=(.OIO 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 I&E 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
o O ~~-~~ E S N --- -
CO. REP. SIGNATURE (FIELD ISSUANCE ONLY) G B
(Date)
INSPECTOR'S SIGNATURE
[C] WEATHER CODE C= K CL=Cloudy, CR=Clear, FG=Foggy, RN=Raining,
SN=Snowing, WD=Windy
INSPECTION REPORT ISSUANCE DATE ~~! ~~O ~/
NOTE: [C] =Required Entry
WHITE -File YELLOW -Operator PINK -Specialist