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- ' 1- <br />• <br />D <br />"(.WF7ia1G 1tiE AOCLDi9" <br />BUCKLEY POWDER CO. - 8500 N. WIOORE ROAD, LITTLETON, CO 80125 • (303) 797-2353 • FAX (303) 470-8840 <br />e~nsva~~ ~®~ <br />Company Name & Location ~o~K, y iIJC~U •~ Tir"t: U !~~/f T ~' <br />Permit No. <br />Date ~ -~ ~ - ~ / <br />Name of Blaster .3 ~ J C e. Lr E ~1c O ri5~ <br />Weather C ~ Q /~ /'~ <br />Wind: Directioa W ~' S r <br />Distance in Feet & Direction to Nearest <br />Maximum Allowable Charge Weight w _ / D 1 2 <br />In Pounds per Delay Period 1\ !1 <br />Blast Location & No. h'~'vG G{~c,giJS G,4~,Jir~- <br />Time of Blast ~ .3 j ~"~ <br />License No. ~7-zS Signature ~ ~-•~~- <br />Temp. .) ~~q~ ~ <br />Wind Speed ~l '~~~ <br />(OSM Regulation Cor Distances of 301 to 5,000 ft when Seismic Monitoring is not used.) <br />~ , ii <br />Number of Holes ~--~ Burden -7 ~ 3 t Spacing ~ ~ Hole Diameter ~Z <br />Depth of Holes ~ ~ "' ~ ~ / Face Heightli d~~' ~ ,~ ~ Subdrilling ~ No, of Rows <br />Type and Length of Stemmiag ~ ~ ~ ~~ •/j E G~ Number of Decked Chazges `'~~ <br />Type of Material Blasted ~Ft .~ i~' -L / ~- Length of Inert Decks ~- <br />Explosives -Grades Used Lbs. <br />e,v D 3'o a _ y''0 cU ~ <br />Maximum ]bs. of Explosive per Delay Interval of 8 Milliseconds or More: <br />79yy tons 3 `/ ~ ~ N'.7yds..b~tea <br />PowderFactor 3 ~ -~ tons/# ©' S "~ #/cu. yd. <br />Type Of Delay Detonator ,L7~N ~ /~!j /il~,'~'~FT <br />Delay Periods uses: ~1S-/ 7 `1/ Z ''7 Z - ~/~ <br />Total No. Caps Used ~~ <br />No. Holes per Period- <br />No. of Series <br />Type of Blasting Machin <br />Sequential Timer Setting <br />Mats or l)ther Protection <br />Grades <br />Lbs. <br />Distance from Shot & <br />Person Taking <br />Fum Analyzing Seismic Record _ <br />Peak Sound Pressure Level (dBL) <br />Vibration Measurement <br />Lbs. ~ ~ 6 <br />Longitudinal <br />Comments• <br />ti'J ~; e.,~D i'~' `1 <br />Lccatieo of Seismograph(s) and Type <br />