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Continuation ` Mine Salety and Health~linistratidn ~ ~~~ <br />Section I-Subsequent Action/Continuation Data <br /> <br />1. Subsequent Action 1a Continuation <br />^ 2. Dated <br />(Original Issue) Mo <br />rr <br />sl Da <br /> <br />0 L Vr <br />Q <br />/ 0 3. Citation/ <br />Ortler <br />Number <br />~ <br />7 <br />J <br />O <br />p <br />O <br />a <br />~ <br />_ <br />4 Serv ~ <br />r erat ~ <br /> <br />~ <br />6. i 7. Mine ID <br />- <br />z <br />(Contractor) <br />Secti II-Juatificetion for Action <br />~~~ l <br /> <br /> <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 Action Taken <br />B. Extended To <br />A. Date Mo Da Vr <br />g. Time 124 Hr. Clock) <br />C. Vacated ^ D. Termin v <br />ed T( E. Modilietl ^ <br />TTT"' <br />Section IV-Inspection Data <br />9. Type of Inspection <br />D 10. Event Number <br />3 <br />ig ture AR Number 12. Dale Mo Da r 13. Time 4 Hr. Gockl <br /> 0 06 a / 3 <br />NSHA Form 7000~3a. Mar 8 ( v¢edl <br />