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ti <br />0 <br />D <br />-covvtnc xt~ noceffs.. <br />BUCKLEY POWDER CO. - 8500 N. MOORE ROAD, LITTLETON, CO 80125 • (303) 791-2353 • FAX (303) 470-8840 <br />BLA$T9tdQ'a L©fa <br />Company Name & Location <br />PertnitNo. Blast Location&No. ~U~.:-th~~~t l~ <br />Date _~,~•- Ofi~ Time of Blast ~ % j <br />;~ <br />Name of Blaster f'~.r~G.~',.~ Sd}~, License No. ~ Signature ~ 7 r <br />Weather litJ"'t"r~~~Cf <br />Wind: Direction ~ n r~~. <br />Distance in Feet & Direction to Nearest Smtcaue <br />Maximum Allowable Charge Weight w _ ~ D ~ 2 <br />In Pounds per Delay Period <br />Temp. L1` ~G <br />Wind Speed .~m.D~ <br />(OSM Regulation for Distances of 301 to 5,000 ft when Seismic Monitoring is not used.) ~f <br />Number of Holes 3(p Burden ~~ Spacing 1~-Hole Diameter ~~cO <br />t ~ <br />Depth of Holes~5 - .~(~ Face Height y Subdrilling No. of Rows <br />Type and Length of Stemming f rJ t' ~v ~ ~~l ~ +" ~C Number of Decked Charges `~-~ <br />Type of Material Blasted ~ ('w"4 }C Length of Inert Decks_~i- <br />Explosives-GtadesUsed ~] Lbs. <br />¢~l~ ll~. ic'~ ~ ~ 7 ~ 7_~ <br />Grades Lbs. <br />Maximum lbs. of Explosive per Delay Interval of 8 Milliseconds or More: <br />~'~tons IG.~9 cu. yds., blasted <br />PowderFaaor ~• 7~ tons/#~#/cu.yd. <br />Type of Delay Detotuuor tioncl ~r' n..acle.~ <br />Delay Periods Used 1'?... I ~, /`lS - y~.'~/g~ <br />Total No. Caps Used _.~~ <br />No. Holes per Period _ <br />No. of Series T~ <br />Type of Blasting Machine <br />Sequential Timer Setting <br />Mats or Other Protection Used ~" <br />Total Lbs., <br />/~GYJ~ <br />T <br />Distance from Shot & Direction /.~/;t-~ _ F ~:`~h <br />Person Taking <br />Firm Analyzing Seismic Record <br />Peak Sound Pressure Level (dBL) <br />Vibration Measurement: <br />Transverse <br />Vertical ~v <br />Longitudinal <br />Comments: <br />Location of Seismograph(s) and Ty_pe~~~ _. ~:° ~-~~ <br />S~ rrc J1L <br />