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Continuation <br /> <br />Mine Safety antl Health <br />~ <<~ <br />Section I-Subsequent ActionlContinuation Data <br />t. Subs uent Action ta. Continuation 2 Dated <br />IDriginal Issue) ~{Mp Da <br />o Vr 3. Gtatiun/ <br />d <br />3~( <br />3 <br />8 <br />9 <br />^ U S (/ Nu <br />mber <br />rv To 5. Oyer r <br />~ ~ <br />, <br />6. Mine 7. Mine I <br /> <br />- n <br />rJ <br />4 z <br />7 <br />(Contractor) <br />Section 111--Subsequent Action <br />8. Extended To <br />A. Date Mo <br />I Da <br />I Vr <br />I <br />B. Time 124 Hr. Clock) <br />C Vacatetl ^ p. Termin <br />ed ^ E. Motlifietl~ <br />Section IV-Inspection Data <br />9 Type of Inspection 10. Event Number , <br />a rc AR Number 12, page Mo Da Vr 13 Time 4 Hr. Gockl <br />U ~6 ~D 7 <br /> <br />sSHA Form 70003a. Mar 5 revised) G <br />