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Continuation J <br />r~ <br />U <br />.,.... ..N~,.,,._,.. ,, , <br />Mine Safety and Health <br />~ <<~ <br />Section I-Subsequent Action/Continuation Data <br /> <br />1. Subs uent Action 1a Continuation <br />^ 2. Dated <br />)priginal Issue) Mo <br />` <br />O u Da <br /> <br />~ Yr <br />o <br />7 ~ 3. Citation/ <br />Order <br />Number <br />3 ~, <br />3 <br />D <br />L <br />3 <br />Served t ~ 5. O ator ~ <br />6. 'ne .Mine ID <br />O <br />S // <br />D 4 <br />Z <br />] <br />(Contractor) <br />Section II-Justification for Action <br /> <br /> <br />/ `-r / i <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> See Continuation Form ^ <br />Section III Subsequent Acton Taken <br />8. Extended To <br />A. Date Mo Da Vr <br />8. Time 124 Hr. Clock) <br />C. Vacated ^ D. Terming <br />ed~ E. Modified ^ <br />Section IV-Inspection Data <br />9 Type of Inspection <br />O 10 Event Number <br />0 <br />3 <br />~ <br />L <br />~ <br />1 .g at a AR Number 12 Dale Mo Da r 13. Time ( 4 Hr. Clock) <br /> 6 D(o ~0 / z 3 <br /> <br />f.ISHA Form 70003a, ngar 851r$.~isetll <br />G <br />