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P~p~ 3 011 Papea
<br />UIld States Department of the Inter
<br />Office of Surface Mining
<br />-i`~~~~" Mlne Site Evaluation Inspection Report
<br />2d SWe Pamtll Number 27. Date of Inspection
<br />-. YMM DD
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<br />2d Yw No Do minlnp and reclamation actlvltles on the site comply with the plans In the pennltT ~ ._ '
<br />D H de nertetive to eu ort this determi nation.
<br />20. IMkafr number o1 complete and pertlal Inapectlons conducted by the State to date for this annual review period:
<br />2Ya m Number of Completes 29b. ~ Number of Partials ~~~ /%1.f4 C~
<br />30. IndlcaFS rantbar of eomplets arM pertlal Inapectlons required by the State durlnp this annual review period:
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<br />30a m Number of Completes .•
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<br />30b. ` ® Number of Partials , • ; ^"j' ~ .
<br />~1. Flea hrpaetlon frequency been mstT ..
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<br />Yas No . 1 + .^ Yes : Na ._ ,
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<br />31 b. ^.,~Partlals' r? 'e'.+•';y';
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<br />32. FEDElGL @IhORCEYFM INFORMATION. [Enter violation number Check approprlale box(es)] -'.- r '~r.7, ~,.+ ;:
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<br />Na ~ ~:. ;; ;Notice of Violation No.
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<br />39. Name of Arrllrorlaed reesnfatlve (prfnf or type)
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<br />OUYWllorc Or1aInN - Flele OHka, Green • HsaOQuartere, Blue -State's Copy, Yellow • inspector's Copy. Pink • Flle Copy IE - 163 (1/63)
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