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Penbodv/Westertt Sertecn 11 & 2-W Mines <br />Blnsline Hewrd <br />Date: Time: <br />Mine: <br />location: WS FJW <br />Weather. Temp: Wind DireclionlVelacity: <br />Nearest Uncontrolled structure: <br />IdenliCcalion: Hallenbeck SmIUt Olcon (circle ane) <br />Dlsuna R: <br />Dlrectioa: <br />Blaster la Charge: Certifiatlon No.: <br />Signature of Blaster. <br />Number in crew: <br />Hole Diameter. Drill Used: <br />Material shot: Overburden Coal Other <br />Average burden: Average Spacing: <br />Hole depth: Number of decks per hole: <br />Average stemming: Type of stemming: <br />Total Number of holes <br />• Weight of Explosives per Hole: <br />Maximum Allowable Weight of Explosives per BMS: <br />Maximum weight of explosives actually deaouled per 8M5: <br />To1a1 weight of explosives: <br />Initiation rystem: <br />Explosives used: <br />Ibs Anfo: <br />Ibs Emulsion: <br />lbs of Primus: <br />Detonating cord !L: <br />Delays: <br />Type: Number. <br />Caps: . <br />Type of uismograph: <br />• Coordinate of seismogrgplt: <br />Sensitivity of instroment: <br />Distantx from blast: <br />Person Diking reading: <br />Flint analyzing: <br />Person analyzing: <br />Vibration level recorded: <br />