INSPEC40316

• Permit No: C1981021
• IBM Index Class Name: Inspection
• Doc Name: COAL INSPECTION REPORT
• Media Type: D
• Archive: No

• • III IIIIIIIIIIIII III
999
COLORADO MINED LAND RECLAMATION DIVISION
COAL INSPECTION REPORT
Mine Name:
Operator:
Permittee:
County:
Type of Operation:
[C] MINE ID # OR EXPLORATION ID #....... - - _ -
PF'IDT ~FI~ P~D~ Z`C-To
[C] INSPECTION DATE............ _ _ / _ __ / _ _ thru _ _ / _ _ /
[C] INSPECTOR'S INITIALS....... _ _ _ CS: WANG User ID - Use Initials with
no punctuation marks or spaces]
[C] TIME OF DAY (MILITARY TIME)... -
[C] INSPECTION TYPE CODE.......... _ _. [CL-IN: CC=Coal -Complete, CP=Coal -
Partial, CX=Coal Exploration,
IL=Illegal Operation]
POST INSPECTION CONTACTS...... [CL-AG
JOINT INSPECTION AGENCY CODE.. '
[C] REASON FOR INSPECTION CODE.... [CL-RS
NO=None, BL=U.S.BLM,
CE=U.S.Corp s, of Engineers,
CH=Colo. Health Dept.,
CL=Colo. Land Board,
CT=Citizen, CW=Colo. Wildlife,
DE=U.S.Energy,
DW=U.S.Wildlife, FS=U.S.Forest
Service, HW=Colo. Highway
Dept., OS=OSM, SE=State Engr.
(Water Resources), OR=Other]
AG=Other Agency Request,
CT=Citizen Complaint, FU=OSM
10 Day Notice Follow-up,
IE=Normal I&E Program, MU=Memo
Of Understanding, OR=Other,
SI=Surety-Related]
CO. REP. PRESENT..
- - - - - - - - - - - - - - - -
[f6 ~acesTlaxl
CO. REP. SIGNATURE (FIELD ISSUANCE ONLY)
DA
[C] WEATHER CODE .................. [CL-WE: CL=Cloudy, CR=Clear,
RN=Raining, SN=Snowing,
WD=Windy, OR=Other]
NOTE: [C] = Required Entry.