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SENT BY:f1SHR-CMS&H-Dist. 9 <br />~ ... ~ _ - - <br />Legal Identity F~eport <br />12-30-92 @9:26gM 3@32315553~C@ MINED LRND REC'L # 6 <br />US. bepartment ct Labcr ~j <br />Mine 5alety and Health Administration ~/ III <br />iros report k required by law (30 C.F.R. of ( <br />Falun to sport can result M asaaamanl of <br />s civil penahy, Krowirfply mekinp • yb. <br />sUlsmsnl ears resuh Yr miminal prosecution <br />resider S 710 0) iha Fedag11.1ine Setsry and <br />Meanh Act of 1777. <br />5-1-80 ~~ <br />reaeni rwme iaemnrcargn Number r^ma HaRH `~ ~ "'~ <br />0500289 \~r ~~~~ <br />Mine Aadrsss Cily County Stara Zip Ct,On <br />25990 Rautt County Rd, 624, Oak Creek, Routt, Colorado 80467 <br />CAmmaddy Nem10/Operefor <br />person ^t <br />Coal. 5unland Miniag Cotpnratian <br />Ilns !n i <br />[] inlllel Notb- <br />Mw; k~w..p.u <br />r.pa,^ N rry wClgr <br />_vid k. Ceasing, <br />General Manager P.O. Soa SS, Oak Creek, Co7.oradn 80467 <br />parson wnh Overall ReSpensiblllly for a Health and Ssfaty Propnm al All of the Opswlo~a Mlles, 11 the Oparalor la Haf O1net1J <br />MroM1sd in the Dally Openflon of Ihs Mina <br />Name and Title Atldres5 <br />Frdmi Mina idantiitcallan Numbers of A)1 Orhsr Mlnss In which the Sob Prppdalor, Parlnsnhlp, Corponllon, er OIMr <br />Or7anirallon Hea a SOR. or Cna/sr Ownership tntenat <br />ID HurrWera <br />N!w <br />Federal Mlne ldsnfipcelfan Humbe4 of All OIhe/ MInIS In whieh Any P^Amy CorporrL OIllgq or Other Orpamsatlon Ofileyl <br />Or fiAember Hss a.t0•b or Greaur Owmnhlp Intmd(nol appllCebie fo soy propdsfonhlp( <br />N/A <br />Addnas of Renard and Telephone HumWr (senlaa of tlxuments upon the eperelor wfll6e completed 67 m^IIIn7 the <br />documenla fo Ihla address( <br />ems 71t1e Talephona Humbsr <br />David R. Canning, General Manager 303-736-2376 <br />rear Atltlreas Ctly Stara Zlp Odds <br />P.O. Soa 55, dak Creek, Colorado 80467 <br />~~~- 'c~ <br />luu Check the Approprtrb 90^ and ComplHe the AppllrJble Settles , •r ~ ~~ <br />1. Sole Proprblorship ^ 11. pararerafup gal. Corpootian ~ `~ ofvsr~ ~., .~~~d ~,,' <br />V <br />l,1 <br />C <br />Q <br />ri.`. <br />-..` ..-..w r,a;n.o... \~ v` - tie l ~,~ <br />