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<br />_ ~ OL'O DO IV SION INE D EOLOG•
<br />' SPEC' O sgs
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<br />' ;~ 5. 3' +1t'I~~. '~ ~ ,,('. ''F Pyw'l: reitl .... ~y,1'.-CT.
<br />..,..,.; - ° ~ ,._ JAN ~ 21996
<br />MINE NAME: ~.~,.,.; ~., ~=( ~? ~ ~ .ADDRESS:
<br />OPERATOR: ~L'/9' C ~ .~ Birieiran e~ hd inr:{. Y, u eqh A'
<br />PERMITTEE: -/(/,a
<br />' COUNTY: //7erG
<br />TYPE OF OPERATION: SURFACE UNDERGROUND `~ LOADOUT
<br />OWNERSHIP: FEDERAL NON-FEDERAL `~
<br />PERMIT STATUS: ,ev AC=Active, AP=Application in Review, CO=Under Cease Order,
<br />IN=lnactive/Permanent Cessation, RV=Revoked, SU=Suspended,
<br />TC =Temporary Cessation, OR =Other
<br />[C] MINE ID OR EXPLORATION ID NO. G - ~ ( - ~5 ( S -
<br />[C] INSPECTION DATE ! ~? / ~ ~ /
<br />[C] INSPECTOR'S INITIALS _D % ~
<br />[C1 TIME OF DAY (MILITARY TIME) 1 5' -' O
<br />[C] INSPECTION TYPE CODE C P CC=Coal-Complete, CP=Coal-Partial CX=Coal
<br />.4-'r Exploration,. AI=Aerial, IL=Illegal Operation
<br />POST INSPECTION CONTACTS /tom O NO=None, BL=USBLM, CE=US Corps of
<br />Engineers, CH=CoIo Health Dept, CL=CoIo Land
<br />JOINT INSPECT. AGENCY CODE /U ~~ Board, CT=Citizen, CW=CoIo Wildlife, DE=U.S.
<br />Energy, DW=US Wildlife, FS=U.S. Forest
<br />Service, HW=CoIo Highway Dept, OS=OSM,
<br />~ SE=State Engineer (Water Resources)
<br />[CI REASON FOR INSPECTION CODE ~ ~ 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
<br />Focus, ON=OSM NOV Follow-Up, OS=OSM Over-
<br />~ ~ sight, PR=Pre-operational, SI=Surety Release,
<br />SR=Surety Related
<br />COMPANY REPRESENTATIVE PRESENT
<br />CO. REP. SIGNATURE (FIELD ISSUANCE ONLY)
<br />INSPECTOR'S SIGNATURE
<br />/...L /~ ~:./
<br />(Date)
<br />(Date)
<br />[C] WEATHER CODE e ~ CL=Cloudy, CR=Clear, RN=Raining,
<br />SN=Snowing, WD=Windy
<br />INSPECTION REPORT ISSUANCE DATE ~7~ (` ~
<br />NOTE: [C] =Required Entry
<br />WHITE -File YELLOW -Operator PINK -Specialist
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