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<br />r <br />Exhibit C <br />' Date July 28, 1987 <br />U.S. DEPARTMENT OF LABOR <br />MINE SAFETY AND HEALTH ADMINISTRATION <br />COAL MINE SAFETY AND HEALTH DISTRICT 9 <br />Mine Identification Number <br />1. Mine ID Number <br />2. Mine Name <br />OS-04246 Rimrock Coal Company <br />3. Ccstoany <br />Rimrock Coal Company <br />9. Post Office Address <br />1828 S. Marion Street, Denver, CO 80210 <br />5. Type Of Mine <br />Undesgrotmd~ Slirfacea Preparation Plant a <br />The identification number indicated in No. 1 above has been assigned to <br />your coal mine. The identification num5es, mine name, and conpany name <br />should be listed exactly as they appear above on all information regn;red <br />to be subr'itted to the Federal Goverrurent. In the event the mine should <br />be abandoned, either temporary or permanent or there is any other change <br />in mine status, please notify this office in writing as soon as possible. <br />The Privacy Act of 1974 (P.L. 93-579) requires us to give you the <br />information that has been included on the back of this form, when <br />kt: ask for personal information on your erg~loyees. <br />/s/ Donald Gabriella <br />Subdistrict Aanager <br />