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<br />TYPE OF OEERATION:`~^SURF
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<br />OWNERSHIP: FEDERAL w..- NON-FEDERAL
<br />PERMIT STATUS: ~_ AC=Active, AP=Application in Review, CO=Under Cease Order,
<br /> IN=lnactive/Permanent Cessation, RV=Revoked, SU=Suspended,
<br /> TC=Temporary Cessation, OR=Other
<br />IC] MINE ID OR EXPLORATION ID NO. G - ~ ~ - ~ ~ ~ -
<br />IC] INSPECTION DATE l a / / ~ / 9 ? .~ /~ /2 2~`!' ~
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<br />' ~^/S/JS' ~ /iVa71/ ,~Gff.h ~h 7~
<br />IC] INSPECTOR
<br />S INITIALS ~ ~ ~ ` ~t~\
<br />IC] TIME OF DAY (MILITARY TIME] ~,~ : ~ d
<br />[C] INSPECTION TYPE CODE C ( CC=Coal-Complete, CP=Coal-Partial CX=Coal
<br /> Exploration, AI=Aerial, IL=Illegal Operation
<br />POST INSPECTION CONTACTS ti O NO=None, BL=USBLM, CE=US Corps of
<br />Engineers, CH=CoIo Health Dept, CL=CoIo Land
<br />JOINT INSPECT. AGENCY CODE /L Z' Board, CT=Citizen, CW=CoIo Wildlife, DE=U.S.
<br />Energy, DW =US Wildlife, FS=U.S. Forest
<br />Service, HW=CoIo Highway Dept, OS=OSM,
<br />SE=State Engineer (Water Resources)
<br />lCJ REASON FOR INSPECTION CODE Z f_ AG =Other Agency Request, CT =Citizen Complaint.
<br />FU=TDN Follow-up, IE=Normal I&E Program,
<br />MU=Memo of Understanding, OF=OSM Special
<br />Focus, ON=OSM NOV Follow-Up, OS=05M Over
<br />sight, PR=Pre-operational, SI=Surety Release,
<br />SR=Surety Related
<br />COMPANY REPRESENTATIVE PR/E~SENT
<br />--~-- -
<br />CO. REP. SIGNATURE (FIELD ISSUANCE ONI~'1
<br />INSPECTOR'S SIGNATURE
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<br />ICJ WEATHER CODE G ~-_ CL=Cloudy, CR=Clear, RN=Raining,
<br />SN=Snowing, WD=WindGy
<br />INSPECTION REPORT ISSUANCE DATE __~/(,~ / ! ~-
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<br />NOTE: IC] =Required Entry
<br />(Date)
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<br />WHITE -File YELLOW -Operator PINK -Specialist
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