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October 30, 2012C-1996-083/Bowie No. 2 MineSLB <br />AVS Annual Review <br />Inspection Worksheet <br />Date <br />October 30, 2012 <br />Mine Name/Permit Number <br />Bowie No. 2 Mine C-1996-083 <br />Inspector Signature <br />Based on your ON-SITE Observation, please answer the following: <br />1)Mine ID sign <br />a)Permittee Bowie Resources, LLC <br />b)Operator Bowie Resources, LLC <br />c)MSHA ID 05-04591(not required to be on sign) <br />2)Direct inquiry (of persons on the site) <br />a)Permittee Bowie Resources, LLC <br />b)Operator Bowie Resources, LLC <br />c)MSHA ID 05-04591 <br />3)Is ownership/control information for permittee and operator noted in field <br />consistent with what is listed in the permit application? Yes No _______ <br />X <br />If No, what is in conflict? <br />_____________NA_______________________________________________________ <br />______________________________________________________________________ <br />______________________________________________________________________ <br />__________________________ <br />Number of PartialInspection this Fiscal Year: 5 <br />Number of CompleteInspections this Fiscal Year: 2 <br />77 <br />Page of <br />