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pF' COr~ <br />tee: - <br />„°'' ~ S <br />•~~Q• <br />. ~~"~, <br />Y /816 ~ <br />MINE NAME: <br />OPERATOR: <br />PERMITTEE: <br />COUNTY: <br />MINE ID OR EXPLORATION ID NO. - ~ - D <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/Phase II Release, PC=Permanent Cessation, RV=Revoked, <br />SU=Suspended, TC=Te/mporary Cessation, OR-Other <br />[C] ~ t~~ <br />[C] <br />[C] <br />ICl <br />[C] <br />[C] <br />INSPECTION DATE ~ Z l ~ .3 / U~ <br />INSPECTOR'S INITIALS <br />~ `~ <br />TIME OF DAY (MILITARY TIME) <br />INSPECTION TYPE CODE ~ C CC=Coal-Complete, CP=Coal-Partial CX=Coal <br /> Exploration, AI=Aerial, IL=Illegal Operation <br />POST INSPECTION CONTACTS ~,l /D <br />JOINT INSPECT. AGENCY CODE /I/ D <br />REASON FOR INSPECTION CODE <br />ADDRESS: <br />NO=None, BL=USBLM, CE=US Corps of <br />Engineers, CH=C010 Health Dept, CL=CoIo Land <br />Board, CT=Citizen, CW=CoIo Wildlife, DE=U.S. <br />Energy, DW=US Wildlife, FS=U.S. Forest Service, <br />HW=CoIo Highway Dept, OS=OSM, SE=State <br />Engineer (Water Resources) <br />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 Focus, <br />ON=OSM NOV Follow-Up, OS=OSM Oversight, <br />PR=Pre-operational, SI=Surety Release, SR=Surety <br />Related <br />COMPANY REPRESENTATIVE PRESENT <br />-~~~ ems, ~~~~~~ ------ <br />/7. <br />CO. REP. SIGNATURE (FIELD ISSUANCE ONLY) C/~-/~ <br />~, ~ ~+ ~~ (Date) <br />INSPECTOR'S SIGNATURE <br />lz-S-a/ <br />(Cj WEATHER CODE _~ ~ CL=Cloudy, CR=Clear, FG=Foggy, RN=Raining, <br />SN=Snowing, WD=Windy <br />INSPECTION REPORT ISSUANCE DATE `Z ~ ~~ <br />NOTE: [C] =Required Entry <br />WHITE -Fife YELLOW -Operator <br />COLORADO DIVISION OF MINERALS AND GEOLOGY II I III Ill 111 IIII 111 <br />COAL INSPECTION REPORT <br />C <br />(Date) <br />C~ <br />PINK -Specialist <br />