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<br />TYPE OF OPERA~lOl11: ~ ~ t~ ` ~ ',~ ; ".
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<br />PERMIT STA-TLIS: I `. AC=Active, AP=Appliption In Review, CO=Under Cease O'rder,'
<br />\, IN=Inactive/Pennanem Cessation, RV=Revoked, SU=Suspended,
<br />TC=Temporary Cessation, OR=Other
<br />[Cl MINE ID OR EXPLORATION ID NO. ~~ - ~ i - U ~ : ` -_ _
<br />[C] INSPECTION DATE ~ ~ / I ~ /
<br />[C] INSPEC'TOR'S INITIALS ~~ _.,;_
<br />[C] TIME DF OAY (VVIILITARY TIME) ~_ Q : c L,
<br />(C] INSPECTION TYPE CODE 1 ~, _~ a CC=Coal-Complete, CP=Coal-Pareial CX=Coal
<br /> Exploration, IL=Illegal Operation
<br /> POST INSPECTION CONTACTS L~ J NO=None, BL=USBLPfl, CE=US Corps of
<br /> -., Engineers, CH=CoIo Health Dept, CL=CoIo Land
<br /> JOINT INSPECT. AGENCY CODE ~ ~ Board, CT=Citizen, CW=CoIo ~Idlife, DE=U.S.
<br /> Energy, DW=US Wldlite, FS=U.S. Forest
<br /> Service, HW=CoIo Highway Dept, OS=OSPH,
<br /> SE=State Engineer (Water Resources)
<br />[C] REASON FOR INSPECTION CODE ~ ~ AG=Other Agency Request, CT=Citizen
<br /> Complaim, FU=OSM 10-Day Notice Follow-up,
<br /> IE=Normal I&E Program, PAU=OShN Random
<br /> Sample Inspection, SI=Surety Related
<br /> COMPANY REPRESENTATIVE PRES ENT
<br /> 0 ~ ~O --- -- - ----------
<br />CO. REP. SIGNATURE (FIELD ISSUANCE ONLY)
<br />INSPECTOR'S SIGNATURE
<br />
<br />1C] WEATHER CODE G ~ CL=Cloudy, CR=Clear, RN=Raining,
<br />SN=Snowi^^n~~g, WD~=}Windy
<br />INSPECTION REPORT ISSUANCE DATE ~=p(~' (y
<br />NOTE: [Cl =Required Entry
<br />(Date)
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<br />WHITE -File YELLOW -Operator PINK - Spedalist
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