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Eh;ERuEt~CY hi~D1CAL ASSISTANCE PLAN <br />• <br />In order to comply with Section 15,1713-I or 77.]7D2, 30 CFP., arrangements <br />for 24-hour eneroency medical assistance and transportation for injured <br />persons have been made with the following: <br />name of Licensed Physician <br />ISedical Service, or <br />Medical Clinic, or <br />Hospital Lower Valley Hospital <br />Address 228 North Cherry <br />Fruita, Colorado 81521 <br />303) 858-3642 <br /> <br /> <br />t;ame of F.mbulance Service, or Fruita Fire Dept. Emergency Squad <br />Other Transportation 24 Hour Emergency I•tedical Assistance And Transportation <br />or e n,7ure i e vai a e. <br />P.ddress Fruita, Colorado 81521 <br />303) 858-3344 <br />/-' <br />Submitted by ~'~~, ~~ ~~.~~c,;.~ ~i • '.'- ~ •-,7~1 <br />- Date <br />Mine foreman <br />Title <br />Black Hawk Coal Company <br />(Company) <br />Munger Canyon Test Site No. 1 <br />(IJine Name) <br />05-03119 <br />(F;SHA I.D. No. ) <br />- is ~ . ~~ , ~ =,\ <br />~~~_ ~ ~:; <br />o` ~.. <br />,~ <br />r c'. <br />~.' ~ <br />