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Mine Nam <br />Operator <br />Permittee: <br />County: <br />Type of Operation: <br />iii iiiiiiiiiiiii iii <br />999 <br />COLORADO MINED LAND RECLAMATION DIVISION <br />[C] MINE ID # OR EXPLORATIOKI ID #....... g 1 - ~( <br />PF16i` ~16'f Q~D3- ZT-T6 <br />[C] INSPECTION DATE............ 1 ~ / O ~-}/ ~ ~ thru _ _ / _ _ / _ _ <br />[C] INSPECTOR'S INITIALS....... ~~~ CS: WANG User ID Use Initials with <br />no punctuation marks or spaces] <br />CC] TIME OF DAY (MILITARY TIME)... / ~7 <br />[C] INSPECTION TYPE CODE.......... G ~ CCL-IN <br />POST INSPECTION CONTACTS...... CCL-AG: <br />JOINT INSPECTION AGENCY CODE.. _ i <br />[C] <br />CC] <br />CT=Citizen Complaint, FU=OSM <br />10 Day Notice Follow-u p, <br />IE=Normal I&E Program, MU=Memo <br />Of Understanding, OR=Other, <br />SI=Surety-Related] <br />CO. REP. PRESENT.. ~ ~ 1 I _ ~ ~ ~ ~1 1 ~ ri _ _, <br />C~6 ipaces~ta~ <br />CC=Coal - Complete, CP=Coal - <br />Partial, CX=Coal Exploration, <br />IL=Illegal Operation] <br />NO=None, BL=U.S.BLM, <br />CE=U.S.Corps. of Engineers, <br />CH=C o1 o, Health Dept „ <br />CL=Colo. Land Board, <br />CT=Citizen, CW=Colo. Wildlife, <br />DE=U.S.Energy, <br />DW=U.S.Wildlife, FS=U.S.Forest <br />Service, HW=Colo. Highway <br />Dept., OS=OSM, SE=State Engr. <br />(Water Resources), OR=Other] <br />REASON FOR INSPECTION CODE.... ~ 1. CCL-RS: AG=Other Agency Request, <br />CO. REP. SIGNATURE (FIELD ISSUANCE ONLY) <br />WEATHER CODE .................. G n [CL-WE <br />NOTE: [C] =Required Entry. <br />WHITE - File <br />YELLOW -Operator <br />CL=Cloudy, CR=Clear, <br />RN=Raining, SN=Snowing, <br />WD=Windy, OR=Other] <br />PINK - specialist <br />.,_~ _. .:max- <br />• ~~~~ <br />