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MINE NAME: <br />OPERATOR: <br />PERMITTEE: <br />couNTY: <br />Division of Minerals ts<Geology <br />I'vrc ~-t/4~+c ~4h YOB. ~~yt~ ADDRESS: <br />/~ /' /~~ <br />Gr4n N ~~ ~~eY C.05 /C,O . ~Q. ~C70:[' ~~ <br />.S'G~„e Goiw. l0 ~~-~~f5 <br />TYPE OF OPERATION: SURFACE ~' UNDERGROUND ~ LOADOUT <br />OWNERSHIP: FEDERAL r/ NON-FEDERAL - <br />PERMIT STATUS: ~ AC=Active, AP=Application in Review, CO=Under Cease Order, <br /> IN=Inactive/Permanent Cessation, RV=Revoked, SU=Suspended, <br /> TC=Temporary Cessation, OR=Other <br />[C] MINE ID OR EXPLORATION ID NO. C - ~ ~ - O O ~'` - <br />[C] INSPECTION DATE ~ Q / ~ ..3 ! <br />[C] INSPECTOR'S INITIALS ~ % /?? <br />[C] TIME OF DAY (MILITARY TIME) O C~ O D I <br />[C] INSPECTION TYPE CODE ~ /~ CC=Coal-Complete, CP=Coal-Partial CX=Coal <br /> ~L ~ Exploration, AI=Aerial, IL=Illegal Operation <br /> POST INSPECTION CONTACTS t/ 0 NO=None, BL=USBLM, CE=US Corps of <br /> Engineers, CH=CoIo Health Dep[, CL=CoIo Land <br /> JOINT INSPECT. AGENCY CODE /t/ O 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 Res_ourcesl_ -._ <br /> -f <br />lC] _ <br />REASON FOR INSPECTION CODE :L ~ AG=Other Agency Request, CT=Citizen Complainx, <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 />[C] WEATHER CODE ~ ~ CL=Cloudy, CR=Clear, RN=Raining, <br />SN=Snowing, /WD=Windy <br />INSPECTION REPORT ISSUANCE DATE l( S <br />NOTE: [Cl =Required Entry <br />WHITE -File <br />YELLOW -Operator <br />PINK -Specialist <br />