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• 111 IIIIII1111111111 <br />999 <br />CULOkPG~~ MlNEO LANG RECLAMATIU: -.;.; .; ,~; <br />COAL INSPECTION REPCicT <br />Mine Name: ~,q-Tn~v ['REe1c /Y)I~vE <br />~Peratur: CiVc~iQGV ~UGL.S /111N/NG C9. E/J6/~,V vEe.S /illiv/NG CO = <br />Permi ttee: -SAmE <br />~o~_ [3ox yy9 <br />county: L..gs /9N1MAS FGoRE,ycg _co, ~?/aaF <br />lype of Operation: f_ ~~/PRIVATE <br />LCJ MINE ID N OR EXPLORATION ID N....... C - g a - O S5 - <br />P F 11~ =`1' ; r % PFTD3- 'C'C-T6 <br />LCJ INSPECTION DATE............ ~ 5 / a 5 / ~ 3 thru p $ / a 8 / q 3 <br />LCJ 1WSPECTOR'S INITIALS....... ~_ 5 ~ lS: WA1+L User IO - Use Initials with <br />nc Punctuati0n marks or sDacesJ <br />LCJ TIME OF DAY (MILITARY TIME)... O ~ ~ O <br />LCJ INSPECTION TYPE CODE.......... C P lCl-IN <br />POST INSPECTION CONTACTS...... N 0 lCL-AG: <br />JOINT INSPECTION AGENCY LODE.. ~! 0 <br />CL=Coal -Complete, CP=Coal - <br />Partial, CX=Coal Exploration, <br />IL=Illegal Operation] <br />ND=None, BL=U.S.BLM, <br />CE=U.S.Corps. of Engineers, <br />CH=Colo. Health Dept., <br />CL=Colo. Land Board, <br />CT=citizen, CW=Colo. Wildlife, <br />DE=U.S.Energy, <br />UW=U.S.Wiidlite, FS=U. S. Forest <br />Service, HW=Colo. Highway <br />DeDt., OS =OS M, SE=State Engr, <br />(Mater Resources 1, OR=Other) <br />lCJ REASON FOR INSPECTION CODE.... ~ ~ LCL-RS: AG=Other Agency Request, <br />CT=Citizen Complaint, FU=OSM <br />10 Day Notice Follow-u D, <br />IC=Normal IdE Program, MU=Memo <br />Of Untlerstanding, OR=Other, <br />SI=Surety-Related) <br />CO. REP. PRESENT. . O E _ .~ C' ~ ~/ ~ G L- ! S <br />- -LZi7 ~aces~lax7 <br />CO. RED. SIGNATURE (FIELD ISSUANCE ONLY) <br />LCJ WEATHER CODE .................. C /Z LCL-WE: CL=Cloudy, CR=Clear, <br />RN=Raining, SN=Snowing, <br />WD=W intly, OR=Other) <br />NOTE: LCJ = Required Entry. <br />WHITE -File YELLOW -Operator PINK - Specialist <br />