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<br />~1ine Name:'
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<br />`~`. Operator;
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<br />Permittee: ~-.age=,;~¢
<br />County: r !"'"
<br /> I II I II'l lll l'1 11111
<br /> 999
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<br />Type ~of,>~eration: i ~^ ~ , rr ,
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<br />[C] MINE ID # OR-E'XPLOR`A"T'I"ON ID fY,...... ~/t, -
<br />PF11~ 1~I~ ~'~P~03 ~L T~ ,
<br />~. '•(C] . INSPECTION D9TE.\....... ~ (_ / ~ 2 / ~ ? thra~" _ / ,,,,,;•-_ / _ = f •
<br />' ~ ~ [C] INSPECTOR'S INITIALS.;.,.:: L~ Rv ~r3~ WANG User`,.'- Use Initials with
<br />no punctuation marks or spaces] 1
<br />9 (C] TIME OF DAY (MILITARY TIME),,, ~T ~,~. `=~
<br />~, (C] INSPECTION TYPE CODE.......... h CCL-IN: CC=Co.a1 C
<br />f ,,. ]~ Partial`' - °mpTete, CP=Coal - ~ ,~
<br />;CX~Coal Exp#oration,
<br />~~ IC=I11 ega) ;QPe!'R1alOR]
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<br />~` POST'INS~ TION CON~71'C'&>;?l~.~r;:;,-~~ ~~L=AC• NO=No[}BLaU.5~8LM,• ~
<br />• ~CE=.U S Corps, of Epgineers,
<br />• - CN=Cok. ~;alth Dept.,'
<br />.. ' -0L=Ca~~o '- 'ADS ®Oard,
<br />~ _- CT=Citar eri, CWCoI o, ui 1 dl i fe,
<br />~ JOINT INSPECTION AGENCY CODE.. DE-~,~, nergy, •.~,,...---__
<br />9W=~~5: S-U ,.forest
<br />.: -----~enliAee~~ay - .
<br />• (Water Res,~,rpe~s')`; .-0R=Other)
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<br />(C] REASON .FOR INSPECTION CODE.... Z ~. (CL-RS i~ AG=Other Agency Request,
<br />CT=Citizen Compl,int;:FU=oSM
<br />10. Day Notjce: f'o~ ow-up,
<br />IE~Normal I6E Progra~. MU=Memo
<br />Of Understanding, OR=Other,
<br />SI+Surety-Related]
<br />CO. REP. PRESENT.. Ci,~ .~ t' _ h ~{ J~. ~ -,~,(~ _.. ;. ' - ' .
<br />b ~ . CZa ~aces-P(az7
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<br />~; CO. REP. SIGNATURE (FIEtD ISSUANCE ONLY) ./~ .~ ~~~~~'-~~
<br />(C] WEATHER COdE .............:.. _ ~WE: CL+Cloudy, CR^Clear, ..
<br />RN=Raining, SN=Snowing,
<br />WD=Windy, OR=Other]
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<br />N~ CC] =Required Entry,
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