Laserfiche WebLink
f GOB <br /> 0 <br /> e <br /> . <br />o <br />• `l+ J <br /> 111CNAwD o urr <br /> 6er[wwow <br />COLORADO DIVISION OF MINES <br />DQARTMENT OF NATUBAI BESOUIICEB <br />l JI3 Sltemren 8lreet, DenYer. Colaedo 8020] T~Iphaw 882.3401 <br />Narmen R. Bldg. Directs <br />Coal Mine Inspection <br />OPERATOR'S MONTHLY REPORT <br />For the month of J.yiiuAtry 19?~ <br />Mine ~ 7'77' 771../f~ Address,P,~',,S'~~ i.J-~ei3~s~G~U County /l9fSiy <br />Names of: Superintendent .f~.,r /1/..sri~rii Mine Foreman l~,4r~Y //~Lii a, C' <br />Company~',y~,ct~~o[i /f7whdc. l~eP AddressQ(~. !~i nr LlJ-~AU.~r~c ~t? •Q/5 <br />~~ <br />Men Em to ed Man-H Da l <br />t <br />T <br />Surface Underground Total ours <br />Worked ys <br />Worked a <br />o <br />Production <br />~ G <br />• All accidents of one day or more lost time must be reported. <br />Date Name Cause of Accident Time Lost.DuG To Injury <br /> <br />r1 <br />LJ <br />Signature <br />This Repott Is Due In This Office By The 15th Of Eaeh Month <br />G"SI 5 (Rev. 12-76) <br />