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<br />Mine Name:
<br />Operator:
<br />Permittee:
<br />
<br />
<br />COLORADO MINED LAND RECLAMATION DIVISION
<br />COAL INSPECTION. $EPURT
<br />/~.~o ~ vV O.dl. ~
<br />"'~ • -
<br />County: /._~~., .r~
<br />Type of Operation: (J,,.),,,,,,,,,_,~ /F~,~~,,,)
<br />v i
<br />[C] MINE ID # OR EXPLORATION ID #....... C - /~- n 7 -
<br />PFIDT ~ID~ 'P~D~ Z`C-T
<br />[C] INSPECTION DATE............ ~) _G / ~ / / $~ thru - _ / _ _ /
<br />- -
<br />[C] INSPECTOR'S INITIALS....... ~ ,Y' 7-' CS: WANG User ID - Use Initials with
<br />no punctuation marks or spaces]
<br />[C] TIME OF DAY (MILITARY TIME)... / 7 : ~ (~
<br />[C] INSPECTION TYPE CODE.......... _~ L [CL-IN: CC=Coal -Complete, CP=Coal -
<br />Partial, CX=Coal Exploration,
<br />•s~`.' IL=Illegal Operation]
<br />POST INSPECT'I'ON CONTACTS...... ~ (~ [CL-AG:
<br />JOINT INSPECTION AGENCY CODE..
<br />
<br />~-si~i•
<br />.. -
<br />NO=None, BL=U.S.BLM,
<br />CE=U.S.Corps. of Engineers,
<br />CH=Colo. Health Dept.,
<br />CL=Colo. Land Board,
<br />CT=Citizen, CW=Colo. Wildlife,
<br />DE=U.S.Energy,
<br />DW=U.S.Wildlife, FS=U.S.Forest
<br />Service, HW=Colo. Highway
<br />Dept., OS=OSM, SE=State Engr.
<br />(Water Resources), OR=Other]
<br />[C] REASON FOR INSPECTION CODE.... T F. CGL-RS: AG=Other Agency Request,
<br />CT=Citizen Complaint, FU=OSM
<br />10 Day Notice Follow-up,
<br />IE=Normal I&E Program, MU=Memo
<br />Of Understanding, OR=Other,
<br />SI=Surety-Related]
<br />CO. REP. PRESENT.. ~'~ p _ _ _ _ _ _ _ _ _ _
<br />['f6 spaces Max?
<br />CO. REP. SIGNATURE (FIELD ISSUANCE ONLY)
<br />[C] WEATHER CODE .................. ~ (~ CGL-WE: CL=Cloudy, CR=Clear,
<br />RN=Raining, SN=Snowing,
<br />WD=Windy, OR=Other]
<br />NOTE: [C] =Required Entry.
<br />}
<br />
<br />~~~ I ~~'~~I~~"~"~I
<br />999
<br />4' '
<br />,YJ.,. ~: ~~. Va i1YY:
<br />
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