INSPEC22904

• Permit No: C1981034
• IBM Index Class Name: Inspection
• Doc Name: COAL INSPECTION REPORT
• Media Type: D
• Archive: No

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COLORADO MINED LAND RECLAMATION DIVISION
COAL INSPECTION REPORT
,
Mine Name: <, , i
Operator:
Permittee:
County:
III IIIIIIIIIIIIIIII
999
Type of Operation:
[C] MINE ID # OR EXPLORATION ID #....... - - _ -
PFIDT 1rFI~ PZD~ Z`C T
[C] INSPECTION DATE............ / - / thru / /
[C] INSPECTOR'S INITIALS....... _ .'~, [S: WANG User ID - Use Initials with
no punctuation marks or spaces]
[C] TIME OF DAY (MILITARY TIME)... '
[C] INSPECTION TYPE CODE.......... _ _ [CL-IN: CC=Coal -Complete, CP=Coal -
Partial, CX=Coal Exploration,
IL=Illegal Operation]
POST INSPECTION CONTACTS...... [CL-AG: NO=None, BL=U.S.BLM,
CE=U.S.Corps. of Engineers,
CH=Colo. Health Dept.,
CL=Colo. Land Board,
CT=Citizen, CW=Colo. Wildlife,
JOINT INSPECTION AGENCY CODE.. _ _ DE=U.S.Energy,
DW=U.S.Wildlife, FS=U.S.Forest
Service, HW=Colo. Highway
Dept., OS=OSM, SE=State Engr.
(Water Resources), OR=Other]
[C] REASON FOR INSPECTION CODE...._ ~ [CL-RS: AG=Other Agency Request,
CT=Citizen Complaint, FU=OSM
10 Day Notice Follow-up,
IE=Normal I&E Program, MU=Memo
Of Understanding, OR=Other,
SI=Surety-Related]
CO. REP. PRESENT.. (~^; L _ -+ _ i _ _ _ _ y .
r - -['f6 ~pacesT~laz7
CO. REP. SIGNATURE (FIELD ISSUANCE ONLY) {
DA
[C] WEATHER CODE .................. ~,~_ [CL-WE: CL=Cloudy, CR=C1 ear,
RN=Raining, SN=Snowing,
WD=Windy, OR=Other]
NOTE: [C] = Required Entry.