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III IIIIIIIIIIIIIIII
<br />999
<br />CuLGkPGr~ +tINEU LAND RECLAMATI~:.r: -: ..; .::,t;
<br />;,p AL INSPECTION REVGki
<br />i4ine Name: C~,,.,~d,,./.,~ ~r~0
<br />Permi ttee: Sig,,,,,L.
<br />C ou n tY ~ J :,~-. lC r ~.,.
<br />,;~; r~ _, .,.
<br />Lw~ipuaoa~ ~'() 2$-8304
<br />Type of OPeration: ~w)~,,,y~~~f
<br />lCJ MINE IO H OR EXPLORATION ID M....... J _
<br />VF1~ ~
<br />17 ~
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<br /> ;
<br />7p~ ~_~
<br />P
<br />LCJ INSPECTION DATE............ L
<br />~ /
<br />D L / ~ 3 t~~ru _ _ / _ /
<br /> -p
<br />/~
<br />LCJ ItJSPECTOR'S INITIALS....... /~~ T LS: WA1+0 Jser• ID - Use Initials with
<br /> nc GU~~CLUat10n marks or spaces)
<br />LCJ TIME OF DAY (MILITARY TIME) ... ~ C/ ~O
<br />LCJ INSPECTION TYPE CODE....... ... ~' L LCL-IN: CC=Coal - Complete, CP=Coal -
<br /> partial, CX=Coal Exploration,
<br /> IL=((legal Operation]
<br />POST INSPECTION CONTACTS...... LCL-AG
<br />JOINT INSPECTION AGENCY CODE.. _ _
<br />ND=None, BL=U.S.B LM,
<br />CE=U.S.Corps. of Engineers,
<br />CH=Colo. Health Dept.,
<br />CL=Colo. Land Boartl,
<br />CT=Citizen, CW=Colo. Wil dl i fe,
<br />DE=U.S.Energy,
<br />DW=U.S.Wildlite, FS=U. S. Forest
<br />Service, HW=Colo. Highway
<br />DePt., OS =05 M, SE=State Engr,
<br />(Water Resources), OR=Other]
<br />LCJ REASON FOR INSPECTION CODE.... , r LCL-R S: 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 Untlerstanoing, OR=Other,
<br />SI=Surety-Related]
<br />CO. REP. PRESENT.. ~~~~___________
<br />LZIl ;paces~la7
<br />
<br />CO. REP. SIGNATURE (FIELD ISSUANCE ONLY)
<br />LCJ WEATHER CODE .................. LCL-WE: CL=Cloudy, CR=Clear,
<br />RN=Raining, SN=Snowing,
<br />~~ WD=Windy, OR=Other)
<br />NOTE: lCJ = Required Entry.
<br />WHITE - File YELLOW -Operator aIWK - Specialist
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