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Continuation -. Mine Salety and Health ~InisUall9n '~~ `C~/ <br />Secuon I-Subsequent Action/Continuation Data <br /> <br />1. Subs <br />uent Action la. Continuation 2 Dated <br />(Original Issue) Mo Ua <br /> <br />D Z Vr <br />p <br />Q 3. Gtation/ <br />Order <br />7 <br />? <br />O <br />Z <br />d <br /> ^ / Number J J O <br />Serv o ~ 5 razor <br /> <br />r ~ <br /> <br />~ <br />6. in 7. Mine ID <br /> D S D d <br />7 (Contractor) <br />Sectio -Justif <br />i <br />on <br />cati <br />for Action <br /> ^ <br />Q <br />' <br />y <br />/ o J <br /> <br /> <br /> <br />v <br />U <br />I <br />~i <br />I <br />I <br />i <br />I <br />I <br />See Continuation Form ^ <br />Section III Subsequent Action Taken <br />8. Extended To Mo <br />A. Date Da Vr <br />6 Time 124 Hr. Clock) <br />C. Vacated ^ D. Terming <br />ed~ E. Modified ^ <br />Section IV-Inspection Data <br />9. Type of Inspection 10. Even[ Number <br />0 <br />3 <br />3 <br />L <br />D <br />tur AR Number 12. Daie Mo Da Vr 13 Time ( 4 Hr. Cmckl <br /> 9 O to / ~ <br /> <br /> <br />M$HA Form 7000~3a. Mar Sb Ire~st~tll <br />