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III IIIIIIIIIIIII III <br />999 <br />CuuikPGC MINED LAWD RECLAMATI :~r; :,.•; .;or; <br />COAL INSPECTION REPCHT <br />Mine Name: ~/I ~~5~ /7e~tn /L~~~n-a.. <br />~ - <br />~JPerdtur: (.~/7 t~C~ FL ~fS /L'J~n lit. LO <br />Permi ttee: - Slim-~ - <br />County: ~ti5 /{-n~'M~S <br />Type of Gperation: uncQere)racer,~ ~ ~r'%/a~c. <br />?.ddress: <br />r~h~~~l FiwCS ,tiiin ins Co . <br />r~ U. .~uX z}~ `I <br />/o/'cctcz, Cv ~/2ZG <br />LCJ MINE ID NOR EXPLORATION ID #....... G - ~ Z - 0 S S' - <br />P F I i~T ": C r PFTD~ Z'C-T'S <br />LCJ INSPECTION DATE............ Q ~ / D ~1 / r 3 thru ~ •z{ / / Q / ~ 3 <br />LCJ IIJSPECTOR'S INITIALS....... _~ / /~ LS: WP1+G User ID - Use Initials with <br />nc Gun~_tuation narks or spaces) <br />LCJ TIME OF DAY (MILITARY TIME)... I ~ <br />LCJ INSPECTION TYPE CODE.......... G G <br />POST INSPECTION CONTACTS...... n,~ O LCL-AG <br />S ~ <br />LCL-IN: CC=Coal - Conplete, CP=Coal - <br />~artial, CX=Coal Exploration, <br />IL=Illegal Operation] <br />JOINT INSPECTION AGENCY CODE.. N <br />LCJ REASON FOR INSPECTION CODE.... ~ L LCL-RS <br />NO=None, BL=U.S.B LM, <br />CE=U.S.Corps. of Engineers, <br />CH=CcIo. Health Dept., <br />CL=Colo. Land Board, <br />CT=;,itizen, CW=Colo. Wildlife, <br />DE=U.S.Energy, <br />~~W=U.S.Wildlite, FS=U. S. Forest <br />Service, HW=Colo. Highway <br />Dept., OS=OS M, SE=Sta to En gr. <br />(Water Resources), OR=Other] <br />AG=Other Agency Request, <br />CT=Citizen Complaint, FU=OSM <br />10 Day Notice Follow-u p, <br />Ic=Normal I3E Program, MU=Memo <br />Of Understanaing, OR=Other, <br />SI=Surety-Related) <br />CO. REP. PRESENT.. lU 0 ~I <br />---------------LZII~aces~la~ <br />CO. REP. SIGNATURE (FIELD ISSUANCE ONLY) <br />LCJ WEATHER CODE .................. C r LCL-WE <br />NOTE: LCJ = Required Entry. <br />WHITE -file YELLOW -Operator <br />CL=Cloudy, CR=Clear, <br />RN=Raining, SN=Snowing, <br />WO=Windy, OR=Other) <br />PIWK - SDecialist <br />