_INSPECTION - C1991078 ‎(10)‎

• Permit No: C1991078
• IBM Index Class Name: INSPECTION
• Doc Name: Inspection Report
• Inspection Date: 10/20/2009
• Email Name: MLT
• Media Type: D
• Archive: No

LO
ADO DIVISION OF RECLAMATION, MINING AND SAFETY
COAL INSPECTION REPORT
NAME, Al ADDRESS:
TaRBv>�uwrsa� �AL LdMP19N� �oN�vy✓ Ca�� Cd�1PA�ly
F
COUNTY; - /l�i�SH1//[.L�, TN 3�.�5
TYPEPF OkRATION: SURFACE X UNDERGROUND LOADOUT
OW
SHIP; FEDERAL NON-FEDERAL X
STATUS: _C AC=Active,AP=Application in Review,CO=Under Cease Order,O*a
IN=Inactive/Phase II Release, PC=Permanent Cessation, RV=Revoked,
SU=Suspended,TC=Temporary Cessation, OR=Other
[C] MINE ID OR EXPLORATION ID NO. q -
[Cj INSPECTION DATE /
[C] INSPECTOR'S INITIALS 1*4 L T
{C] TIME OF DAY(MILITARY TIME) / O 3 d
[C]' INSPECTION TYPE CODE C CC=Coal-Complete, CP=Coal-Partial CX=Coal
Exploration,AI=Aerial, IL=Illegal Operation
POST INSPECTION CONTACTS N 0 NO=None, BL=USBLM,CE=US Corps of
Engineers, CH=Colo Health Dept, CL=Colo Land
JOINT INSPECT.AGENCY CODE IV 0 Board, CT=Citizen, CW=Colo Wildlife, DE=U.S.
Energy, DW=US Wildlife, FS=U.S. Forest Service,
HW=Colo Highway Dept,OS=OSM,SE=State
Engineer(Water Resources)
ICI REASON FOR INSPECTION CODE AG=Other Agency Request, CT=Citizen Complaint,
FU=TDN Follow-up, IE=Normal I&E Program,
MU=Memo of Understanding,OF=OSM Special Focus,
ON=OSM NOV Follow-Up,OS=OSM Oversight,
PR=Pre-operational, SI=Surety Release,SR=Surety
Related
101 Inspector did_ did not ✓eceive documents during this Inspection. (If any documents were received,
provide a narrative and a list of the documents in Section III of this report.)
COMPANY REPRESENTATIVE PRESENT
AN DOWNS
CO.REP. SIGNATURE(FIELD ISSUANCE ONLY)
(Date)
INSPECTOR'S SIGNATURE
(Date)
[Cy WEATHER CODE C- CL=Cloudy,CR=Clear, FG=Foggy, RN=Raining,
SN=Snowing,WD=Windy
INSPECTION REPORT ISSUANCE DATE
4 '
NOTE: [C]=Required Entry
•File YELLOW-Operator PINK-Specialist
� .