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t <br /> He COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br /> COAL INSPECTION REPORT <br /> 1876+ <br /> MINE NAME: Sc--A& 3 n'1 INE ADDRESS: <br /> OPERATOR: cs-4k COAL C OA Pi94 8 C/)K C41/9 L C0/n PAN <br /> PERMITTEE: — S,Ane _ P in 8 0}C I `25 LI <br /> COUNTY: GvnrMl:50A) PA 061 U9 , C.O. <br /> TYPE OF OPERATION: SURFACE UNDERGROUND X LOADOUT <br /> OWNERSHIP: FEDERAL >( NON-FEDERAL <br /> PERMIT STATUS: / 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. - 3 , - 0 3 3--_ <br /> [C] INSPECTION DATE O l / I I / ) 0 <br /> [C] INSPECTOR'S INITIALS <br /> [C] TIME OF DAY(MILITARY TIME) tf <br /> [C] INSPECTION TYPE CODE C C- CC=Coal-Complete,CP=Coal-Partial CX=Coal <br /> Exploration,AI=Aerial, IL=Illegal Operation <br /> POST INSPECTION CONTACTS N O NO=None, BL=USBLM,CE=US Corps of <br /> Engineers,CH=Colo Health Dept, CL=Colo Land <br /> JOINT INSPECT.AGENCY CODE N 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 /> ,a / L_ L Q E A <br /> CO. REP. SIGNATURE (FIELD ISSUANCE ONLY) IVo? IAI 12fFIC6- /Il9Z_�'_/O <br /> (Date) <br /> INSPECTOR'S SIGNATURE U Uriit 201-6 <br /> (Date) <br /> [C] WEATHER CODE C CL=Cloudy, CR=Clear, FG=Foggy, RN=Raining, <br /> SN=Snowing,WD=Wiindy <br /> INSPECTION REPORT ISSUANCE DATE Il <br /> NOTE: [C] = Required Entry <br /> WHITE-File YELLOW-Operator PINK-Specialist <br />