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1 4`OF C~{ III IIIIIIIIII III~I~III <br />~~ COLORADO DIVISION OF MINERALS AND GEOLOGY sss <br />COAL INSPECTION REPORT <br />,.,. <br />MINE NAME: <br />OPERATOR: <br />PERMITTEE: <br />COUNTY: <br />ADDRESS: <br />c / - ~ i <br />~~ <br />TYPE OF OPERATION: Uy <br />[C] INSPECTION DATE D J,/J l J I l i <br />[CI INSPECTOR'S INITIALS <br />lC] TIME OF DAY (MILITARY TIME) ~ ~ : ~ i/ <br />[C] INSPECTION TYPE CODE ~ ~ CC=Coal-Complete, CP=Coal-Partial CX=Coal <br />Exploration, IL=Illegal Operation <br />POST INSPECTION CONTACTS ~ ~ NO=None, BL=USBLM, CE=US Corps of <br />Engineers, CH=CoIo Health Dept, CL=C010 Land <br />JOINT INSPECT. AGENCY CODE ~~ 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 ! G AG=Other Agency Request, CT=Citizen <br />Complaint, FU=OSM 10-Day Notice Follow-up, <br />IE=Normal I&E Program, MU=OSM Random <br />Sample Inspection, SI=Surety Related <br />COMPANY REPRESENTATIVE PRESENT <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=Othenr <br />[C] MINE ID OR EXPLORATION ID NO. ~ - ~ ~ - ~ D ~ - <br />CO. REP. SIGNATURE (FIELD <br />INSPECTOR'S SIGNATURE <br />IC] WEATHER CODE ~ ~ CL=Cloudy, CR=Clear, RN=Raining, <br />SN=Snowing, WD=Windy <br />INSPECTION REPORT ISSUANCE DATE O3 3 <br />NOTE: lC] =Required Entry <br />WHITE -File <br />YELLOW -Operator <br />PINK -Specialist <br />