GENERAL30496

• Permit No: M1985029
• IBM Index Class Name: General Documents
• Doc Date: 6/22/1990
• From: US DEPT OF LABOR
• To: MLRD
• Media Type: D
• Archive: No

Section l-Subsequent Acton/Conbnuabon Data
1. Subsequent Action 1a. Continuation
^ 2. Datetl
(Dri Inal luuel Mo
D s Da qYr
Q / ~ 3. Citation/
Order
Numtx~
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IContreaorl
ion 11-Justification for Action
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- See Continuation Form ^
Section III-Subsequent Action Taken
8. Extended To
A. Dale Mo Da Vr
B. Time (24 Hr. Clock)
C. Vacated ^ D. Termin
to ~ E. Modified ^ .
~1
Section IV-Inspectlon Data
9. Type of Inspection
O
p 10. Event Number
3
3
z
o
-
- - - -
gl at a
l/, AR Number 12. Dale Mo
06 Da
~ Vr
Ya 13. Time 24 Hr, Clock)
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