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Di C0~4 • • <br />A~ ~• <br />-a~~ o COLORADO DIVISION OF MINES <br />r' <br />v..~ , X~iD DEPARTMENT OF NATURAL RESOURCES <br />~. 1 313 Sherman Street. Denver. Colorado 80203 Telephone R92-3001 <br />rNVo <br />Norman R. 91ake, Director <br />RICHARD D. LAMM <br />GOV[PNO11 <br />Coal Mine Inspection <br />OPERATOR'S MONTHLY REPORT <br />For the month of ~ I1 u [L1 t , 19 7 7 <br />Mine ~77PY /l D. ~ /~rl//l ~ Address f'• U• Od X SS URIC (' I`eC IC_ County /~ (1 Cc / I <br />/ 1 I / <' <br />Names of: Superintendent C7CS~/'1r~ SLl PP re Mine Foreman /bo.-far J~-22 ~\2 <br />Com an ~ t+~d1,1U ~~I~1rrlQ ( c'~~CY4llO/~Address'r.r ( ~, r!r r~ttr~~ ~r~'r i I,rnUrl' <br />P Y~ U - <br />Men Em to ed M <br />H D To <br />l <br />Surface Underground Total an- <br />ours <br />Worked ays <br />Worked ta <br />Production <br />< =~ ~/ ~~c2i ~~ /:i 97 <br />All accidents of one day or more lost time must be reported. <br />Date Name Cause of Accident Time Lost,lh4Z To Injury <br />~//~/n <br />Signet re <br />This Report Is Due In This Office By The 15th Of Each Month <br />1 <br />CMI 5 (Rev. 12-76) <br />