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~. coc <br /> a <br />~~1 <br />• :~c <br />•- <br /> rwr <br />RICHARD n. LAMP <br /> 60Yr~w0~ <br />COLORADO DIVISION OF MINES <br />DEPAgTMENT OF NATUR4~ RESOURCES <br />1313 Shermon Strait. Denver, Colarstlo 90203 T~1rpROnra 892.7401 <br />Norttwtn R. 91nka. Director <br />Coal Mine Inspection <br />OPERATOR'S MON~,T~HTLY REPORT <br />For the month of ///A Y , 19~ <br />Mine C~ ~''?C` T.-'-~', - Address~a"-~r, Gc~- /.~e.~.-+~-~ ~I-County /%"'.~ ~..= <br />Names pf: Superintendent~~e.c /~%e--'"ril,%~. Hine Foreman ~a~~~' ~~/.~.--,~ <br />n <br />i r <br />CompanyLr:~r:t.?i~c:-= /,''.. _ ~:..-/~ Address~(.';f_'+~. CC~'r;1~is~n,: i~~. ~ •~:~•.. <br />Men Em to ed Man-H Da T <br />l <br />Surface Underground Total ours <br />Worked ys <br />Worked ota <br />Production <br />y.Z ,2/ .20 ,¢ ~ ~ <br />• All accidents of one day or more lost time must be reported. <br />Date Name Cause of Accident Time Lost Dtxe To Injury <br />_~ <br />3 =/Q- 7 7 - /~!~ : ~~ '.,L~~ . ,.._.~ - ~.P~,yr O.c T1~E Di y~.pTE.P - /' ~- <br />oT,v.9r lraFS dt. T.Sr~' <br />P ~'LT L „L-E SG / PPEO <br />___ _ __A1~r nF .~J~/5 /LfrP~/OS <br />.4A'O /~/7'/his .P.bNf.t`iarC~ <br />or.~ ~ rs wA y Do w.v. <br />• <br />/ ~~J ~ <br />Signature <br />This Report Is Due In This Office By The LSth Of Each ifonth <br />C~fI 5 (Rev. 12-76) <br />