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.. <br />iii iiiiiiiiiiiii iii <br />999 <br />CULOkPDO ~aIUJED LAND RECLAMATION :,i;l;iUr~ <br />COAL INSPECTION REPOkT <br />~4ine Name: /~/1. LSf~ ~ <br />SPeratur: l'i~ ~c ~ °, <br />Permi ttee: ~sy~~ <br />County: li'!b <br />type of Gperation: CGS/~~ <br />LCJ MIIJE ID N OR EXPLORATION ID N....... C <br />PFI~ <br />Address: <br />- ~~ - Q ~~ - <br />"i E f ~ PFTO~ ZT-TT5 <br />LCJ INSPECTION DATE............ 1 ~ / Q ~ / L Z thru ~1 / ~ ~ / L Z <br />LCJ IIJSPECTOR' S INI iIALS....... J_~_ G(~ L S: WP1aG User ITT - Use Initials wi to <br />no punctuation marks or spaces) <br />LGJ TIME OF DAY (MILITARY TIME)... ~,2 <br />LCJ INSPECTION TYPE CODE.......... CG <br />POST INSPECTION CONTACTS...... N~ LCL-AG <br />3O <br />lCL-IN: CC=Coal - Complete, CP=Coal - <br />Partial, CX=Coal Exploration, <br />IL=Illegal Operation] <br />JOINT INSPECTION AGENCY CODE.. ~/ O <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. Wildlif?, <br />DE=U. S. Energy, <br />DW=U.S.Wildlite, FS=U. S. Forest <br />Service, HW=Colo. Highway <br />Dept., OS=OS M, SE=State Engr, <br />(Water Resources), OR=Other] <br />LCJ REASON FOR INSPECTION CODE.... % E LCL-RS: AG=Other Agency Request, <br />CT=Citizen Complaint, FU=OSM <br />10 Day Notice Follow-u p, <br />IE=Normal 18E Program, MU=Memo <br />Of Understanding, OR=Otlier, <br />Q SI=Surety-Related) <br />CO. REP. PRESENT.. 'TE /Q /~ F L L ~Q Ns a N <br />- ~ - - - - - -L~TI maces-Alaz7 <br />CO. REP, SIGNATURE (FIELD ISSUANCE ONLY) / i \ ~~ ~ ~/~I Z. <br />LC1 WEATHER CODE. ............. C G LCL-WE: CL=Cloudy, CR=Clear, <br />RN=Raining, SN=Snowing, <br />WD=Windy, OR=Other) <br />NOTE: LCJ = Required Entry. i <br />WHITE - File YELLOW -Operator PINK - Specialist <br />I ~ :! <br />