|
.~-~. <<~
<br />..r Jllln lllOllUll • Mine Safety and Healldminist anon ,
<br />NC[IOn/({Ontln Uatlgn Uata
<br />
<br />1. Subsequent Action 1a. Continuation
<br />^ 2. Dated
<br />(priginal Issue) Mo Da
<br />
<br />~ Z Vr 3. Citation/
<br />Order
<br />Number
<br />7
<br />J
<br />
<br />~
<br />
<br />Z
<br />-
<br />•~7~
<br />' ,.
<br />•~•'
<br />erv o
<br />r r 5. 0 for
<br />f . _ . •:,; , .. .. .
<br />,.r, ;J xy.r.
<br />8. Mina
<br />•.inr;. '1e11 !~; ~i'It!Ex. 7. Mina ID
<br />O
<br />- O
<br />- .1,
<br />a iCgmrasxgr)
<br />Saotio 1-,luttifitetion for A tion
<br />. ... tYal:~ :.71. ':~ '. J ~V I-' f J'J'
<br />f.'
<br />~~ ~, ,~ ~° ... ,
<br />:'.: .., .. ~c ..
<br />,:~zo ..9o aaq ~.,
<br />gfl!WO:fOt !nt~et9q 1C y;3TE2 ~':I~JnstlStv:(^ - i:ii"Ji' fr_'i7J?~ '1;11 ~ DoT. irti ~L!5::1.1 ,m^.'s } : ^:ri:da•r' :7 m bnb ,mul! n•'~;
<br />~J•Y .. ' .Puiq Vl9vn'!?l 7sp.7.n: Grt ?3reu7 S7^3118.17 n(., '
<br />~.
<br />: -.i•I]~; gf 89:11^179?+:I V1e: 9\}
<br />
<br />.. ... i.. 1. ~. 'Jdfll •.. :'l 1 v
<br />r. dl J. ... ~ 1J,•Jr .lU1:.
<br />r1: n:
<br />,sf.8f ra T7r, n716~I~ C`.b 'yia .... ........ .... ~'~ - .~
<br />41hiT9T.5~ 4r1T r0 ?"lE)P•!L';:o°R O°LL.'11vA Pa!r._i-^3.1('!1'0. ~f IA9cb)?il(K-CG, v;!.;r. .~q:'~:._I '
<br />,rl(A S,::..'I ;t;'.I:IIly.4 n:;'6,
<br />nlbTJ?' 7:11 TU i~Jii&(,' C8'i 111 ~. '3 ..v .. Y1u'I .. ~l.J .l:ol}'I: .': f:.;:. ~ . ... ... .....
<br />pniovp~l.' ydi 'i GR7 75ep'. .e L'IaF •I,^n '.!): .1.J ^fi T~ h~nf~. ::h: 17:='~a.~i i .r.E-' . a~ . ••,f, . .
<br />'~~1. . ~~... ..
<br />
<br />w rtf59A 1<10:6C ti;n ,1J~• °:'~ `O nxcl:,'1j , ~1a'ri i,.-•.^:.' ...,;..L'"x112-I,, IJ -' ~if
<br />al. I ). _ ~.... ..
<br />ViIrY:OrhT. T.il :,'.` .F. •..l •.) fill'..'^li; r.l .r,-.... •ntl1, J,. . ., ...
<br />:~ tiflG4(I : Ot 91LC~'l: '): •. S: '.:i q.? w ..
<br />. ~ ,;;i .°tS ~ ,vchv~% rin~iw-w n3 aTO''h::u '
<br />10 .. f .. '1: no:: .
<br />a:,i ~ .:•T1 ....... C. ,~
<br />r.1r7"r.:;:. .~c .... .. <,~ ,: ..,ae:.. .- 1i ...,..:~ .. _., ,..z •, . nl ,r .. .. ~.,
<br />]r ,:r:r
<br />
<br />
<br />
<br />
<br />1'~:' '' '
<br />
<br />
<br />
<br />
<br />' See Continuation Form ^
<br />Section III-Subsequent Action Taken ~ '
<br />8. Extentletl To
<br />A. Date Mo
<br />~ Da
<br />/~ O
<br />~L Vr
<br />~ D
<br />B. Time (24 Hr. Clock)
<br />O
<br />C. Vacated ^ D. Term '
<br />i atetl ^ E. Motlified ^
<br />Section IV-Inspection Data
<br />9. Type of Inspection . O ~ 10. Event Number
<br />O
<br />3 O - _ _ . , ._ ... _. _ _
<br />n ure AR Numoer 12. Date Mo Da r 13. Tim (24 Hr, Clockl
<br /> 0 (o D `J l ~
<br />MSHA Form 70003a, Mar revised)
<br />
<br />
|