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<br />CULOkPDO MIIJEU LAWD RECLAMAT [ uN ", , : I , i U~J
<br />COAL INSPECTION REPOkT
<br />Mine (Jame: c"UA~ ~11~,,~,~~
<br />JPerdtur: bw~, IXIUX 1:F7-11p'Q~{1~
<br />Permi ttee: C,~/~f~ T~)
<br />County: _
<br />Type of Operation: ~',t,lr~ ~ ~YIVQI.~
<br />Ad ~ress:
<br />1 o zrro lAes~- ~~~~`' ~Jd4A,I,tIL ~~ 171
<br />t~a~ ~ ~D ~OV33
<br />LCJ MIIJE ID # OR EXPLORATION ID #.......
<br />P F I bT ~F l i~ ~PFTD3- ~C-T~3
<br />LCJ INSPECTION DATE.......,,.,. D H ( l Z( 9 Z thru D$( ~ 3 / 9 Z
<br />LCJ IIJSPECTOR'S INITIALS....... _~_ rn LS: WPNG Us e,• ID - Use Initials wito
<br />no punctuation marks or spaces)
<br />LCJ TIME OF DAY (MILITARY TIME).., f ~ 3 0
<br />LCJ INSPECTION TYPE CODE.......... C C LCL-IN,
<br />POST INSPECTION CONTACTS...... N O LCL-AG
<br />JOINT INSPECTION AGENCY CODE.. N O
<br />CC-Coal - Complete, CP=Coal -
<br />Partial, CX=Coal Exploration,
<br />IL=Illegal Operation)
<br />NG=None, BL=U,S.B LM,
<br />CE=U. S.rorps. of Engineers,
<br />CH=Colo. Health Dept.,
<br />CL=Colo. Land Board,
<br />CT=Citizen, CW=Colo. Wildlif?,
<br />DE=U, S.Energy,
<br />DW=U.S.Wildlite, FS=U. S. Forest
<br />Service, FM=Colo. Highway
<br />Dept., OS =OS M, SE=State Engr.
<br />(Water Resources), OR=Other)
<br />LCJ REASON FOR INSPECTION CODE.... I E LCL-RS: AG=Other Agency Request,
<br />CT=Citizen Complaint, FU=OSM
<br />10 Day Notice Follow-u p,
<br />IE=Normal I8E Program, MU=Memo
<br />Of Understanding, OR=Otlier,
<br />SI=Surety-Related)
<br />CO. REP. PRESENT.. $l je y A- /J_ /r !2. @, H ~ .2 _ _ _
<br />L~U ~aces~la~
<br />CO. REP, SIGNATURE (FIELD ISSUANCE ONLY)
<br />LCJ WEATHER CODE .................. C ~ LCL-WE: CL=Cloudy, CR=Clear,
<br />RN=Raining, SN=Snowing,
<br />WD=Windy, DR=Other)
<br />NOTE: LCJ = Required Entry,
<br />WHITE - File YELLOW - Operatur PIWK - Specialist
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