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<br />COLORADO MINED LAND RECLAM_ TPON ~>ti~G~SJ'bN"'
<br />C0~1~_ INSPECTIOK
<br />Mine Name: ~ (' ~.2
<br />Operator: Q._~, ln~l~r, ~/VC:.:,;3
<br />Permittee: ~AN1~~i rwRRS y, `+.
<br />-_
<br />Coltnty : \7 l1 n/n11 SO/J Y t
<br />Type of Operation:(A,~~~~,~p_~l;i,,~D/~-~~~,4Z
<br />;~-"~.
<br />[C] MINE ID,# ORiEXPLORATION ID #....... ,,, ~~
<br />PFIDI PFID2 `:':".:: p~D~ ~-T
<br />[C] INSPECTION DATE............ (~ L / ~ ~ / C/ ( ttrk,_ / _ _ / r _
<br />,.~
<br />:.;.
<br />[C] INSPECTOR'S INITIALS....... P V ~ [S: WANG Use;?°:- Use Initials with
<br />no punctaa~tion marks or spaces)
<br />[C] TIME OF DAY (~1ILITARY TiME)... ~ ~ : O O
<br />[C] INSPECTION TYPE CODE.......... p [CL-IN: CC=Coal -Complete, CP=Coal -
<br />Partial, CX=Coal Exploration,
<br />IL=Illegal Operation]
<br />POST INSPECTION CONTACTS...... ~ l~ [CL-AG:
<br />[C]
<br />[C]
<br />NOTE
<br />JOINT INSPECTION AGENCY CODE../~J
<br />REASON FOR INSPECTION CODE.... ~ ~ [CL-RS:
<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 />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.. 11 ~ ~ ~. _~ ~ /~ V ~ ~ _ _ _ -~ maces-Ffaz7
<br />CO. REP. SIGNATURE (FIELD ISSUANCE ONLY)
<br />WEATHER CODE ..................~~ [CL-WE: CL=Cloudy, CR=Clear,
<br />RN=Raining, SN=Snowing,
<br />WD=Windy, OR=Other]
<br />[C) = Required Entry.
<br />_~..,: LN. •te k<^r r...., _.__ Y.y.^gYGo~::.tgt.a ^k~i,. _. , .
<br />
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