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<br />iii iiiiiiiiiiiiiiii <br />999 <br />CuLGkPDr> >11NE0 LAND RECLAMATI :1. ... ~ .: ,r: <br />:.O AL INSPECTION RElCKT <br />Mine Name: ~I(,(Q ~ji~j~p~ U~II{~.Q~ <br />~perat~r: i~I/~1I1~{~~/ ~/(/IL <br />Permittee: 5~~~ <br />County: VII ~a, <br />lype of Operation: ~ ~ r~ ~~~1 <br />~: <br />'.c...r~ ss. <br />s-~ V~- <br />,Z ~lp~ C0~~4,' CGi Vie. ~D~ <br />i <br />LCJ MIIJE ID N OR EXPLORATION ID k....... - <br /> <br />LCJ INSPECTION DATE............ ~ ~r / ~ ~ l / ~ t!~ru ~ ~p / ~ Q <br />/ ~ ,~j <br /> ' ~ ~ <br />~ _ <br />LCJ S INITIALS....... <br />IWSPECTOR _ <br />_ LS: W PI~u U~~er I D - Use Initials with <br /> _ nc ou~~_tu ation marks or sDace51 <br />LCJ TIME OF DAY (MILITARY TIME) 'J <br />... I ~ : ~J O <br />LCJ INSPECTION TYPE CODE....... ... C ~ LCL-IN : CC=Coal - Complete, CP=Coal - <br /> partial , CX=Coal Exploration, <br /> IL=Ille gal Operation] <br />POST INSPECTION CONTACTS...... /v D LCL-A~ <br />JOINT INSPECTION AGENCY CODE.. /" 1/ <br />LCJ REASON FOR INSPECTION CODE.... / ~ LCL-RS: <br />NO=None, BL=U.S.B LM, <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 />CAW=U.S.Wiltllite, FS=U. S. Forest <br />Service, HW=Colo. Highway <br />Dept., OS=OS M, SE=Sta to Engr. <br />(Water Resources), OR=Other) <br />AG=Other Agency Request, <br />CT=Citizen Complaint, FU=05M <br />10 Day Notice Follow-u p, <br />IC=Normal 18E Program, MU=Memo <br />Of Untlerstantling, OR=Other, <br />SI=Surety-RelatetlJ <br />CO. REP. PRESENT.. ~ Q /" <br />---------------L2Q~aces~la~ <br />CO. REP. SIGNATURE (FIELD ISSUANCE ONLY) <br />LCJ WEATHER CODE .................. ~ 2 LCL-WE <br />NOTE: LCJ =Required Entry. <br />WHITE - File YELLOW -Operator <br />CL=Cloudy, CR=Clear, <br />RN=Raining, SN=Snowing, <br />WD=Wintly, OR=Other) <br />PIWK -Specialist <br />