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0�QOF Cow <br /> * COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br /> * COAL INSPECTION REPORT <br /> *1876 <br /> MINE NAME: <br /> n /Y11 JV a ADDRESS: <br /> OPERATOR: "R C 04 L ComPAmj P Q0 6 L CbM PAJV )/ <br /> PERMITTEE: --T SAME P A n X ; y <br /> COUNTY: Gv/vm1s eo? PA0A11,5,a Co . I L) z <br /> TYPE OF OPERATION: SURFACE UNDERGROUND LOADOUT <br /> OWNERSHIP: FEDERAL x NON-FEDERAL <br /> PERMIT STATUS: Pc_ AC=Active,AP=Application in Review, CO=Under Cease Order, <br /> IN=Inactive/Phase II Release, PC=Permanent Cessation, RV=Revoked, <br /> SU=Suspended,TC=Temporary Cessation,OR=Other <br /> [C] MINE ID OR EXPLORATION ID NO. C- 9 - 6 3 -3 - <br /> [C] INSPECTION DATE 15 7 /�Z C g <br /> [C] INSPECTOR'S INITIALS T 1 _b <br /> [C] TIME OF DAY(MILITARY TIME) d 0 <br /> [C] INSPECTION TYPE CODE G CC=Coal-Complete,CP=Coal-Partial CX=Coal <br /> Exploration,AI=Aerial, IL=Illegal Operation <br /> POST INSPECTION CONTACTS N fl NO=None, BL=USBLM,CE=US Corps of <br /> Engineers,CH=Colo Health Dept,CL=Colo Land <br /> JOINT INSPECT.AGENCY CODE AV 0 Board, CT=Citizen,CW=Colo Wildlife, DE=U.S. <br /> Energy, DW=US Wildlife, FS=U.S. Forest Service, <br /> HW=Colo Highway Dept,OS=OSM,SE=State <br /> Engineer(Water Resources) <br /> [C] REASON FOR INSPECTION CODE C AG=Other Agency Request,CT=Citizen Complaint, <br /> FU=TDN Follow-up, IE=Normal I&E Program, <br /> MU=Memo of Understanding,OF=OSM Special Focus, <br /> ON=OSM NOV Follow-Up,OS=OSM Oversight, <br /> PR=Pre-operational, SI=Surety Release,SR=Surety <br /> Related <br /> [C] Inspector did_ did not X receive documents during this Inspection. (If any documents were received, <br /> provide a narrative and a list of the documents in Section III of this report.) <br /> COMPANY REPRESENTATIVE PRESENT <br /> // ® /V e --f & E s e A—r-T_ _ <br /> CO. REP. SIGNATURE (FIELD ISSUANCE ONLY) fU0? W O FFICet- - 3I�09 <br /> (Date) <br /> INSPECTOR'S SIGNATURE L 7 0 <br /> ( ate) <br /> [C] WEATHER CODE G L CL=Cloudy,CR=Clear, FG=Foggy, RN=Raining, <br /> SN=Snowing,WD=Windy <br /> INSPECTION REPORT ISSUANCE DATE / 3 r/n 9 <br /> NOTE: [C] = Required Entry <br /> WHITE-File YELLOW-Operator PINK-Specialist <br />