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• :~ III IIIIiiiiilliilll <br />~. 999 <br />.. ~ Ki' Y,;'.T'fYC-'F' <br />~~1~~. ~~ED LAND RECLA ~' ~ ''-~`~ <br />rne~ .~~, c~rrTrnu~a~ . ` <br />Mine Name; 4 2 <br />Operator: ~Ctror ire <br />l1 <br />Permittee: <br />county: ~~l~a ~'::, <br />Tvpe of Operation: ~oa.rXl~{r <br />,. <br />[C] MINE ID # OR EXPiORATION <br />[C] INSPECTION DATE.......... <br />[C] INSPECTOR'S IN~~'IAI;S;g <br />.< <br />1 7.r <br />;~'~'<. <br />~ -=., <br />C <br />;PFIDT <br />`~ no Pu!I <br />.:e~s~~ <br />TIME OF DAY (MILITARY TIME)... Q <br />INSPECTION TYPE CODE.......... <br />su <br />[CL-IN: <br />POST INSPECTION CONTACTS......~U ~ [CL-AG <br />JOINT INSPECTION AGENCY CODE.. /U <br />i?~ .~-r <br />~;/ "_"" / <br />;~ <br />i.*. <br />~s~-knit#als with <br />i marks or• spaces] <br />C(;~Qal -Complete,.CP=Coal - <br />Part~al, CX=Coat Exploration, <br />IL=Illegal Operation) <br />NO=None, BL=U. S.BLM, <br />CE=U. S. Corps. of Engineers, <br />CH=Colo. Health Dept:, <br />CL=Colo. Land Board, <br />CT=Citizen, CW=Col o: Wildlife, <br />DE=U. S. Energy, . , ,,; <br />DW=U. S.Wildlife, fS=U.S.Forest . <br />Service, HW=Colo. Highway <br />Dept., OS=O.SM, SE=State Engr. ' <br />(Water Resources), OR=Other]_ <br />REASON FOR INSPECTION CODE.... ~~ [CL-RS: AG=Other Agency Request, <br />CT=,,Citizen Complaint, FU=OSM <br />10 Day Notice Follow-up, .. <br />IE=Normal I&E Program, MU=Memo <br />Of Understanding, •OR=Other, <br />SI=Surety-Related] <br />CO. REP. PRESENT.. ~ Q t y - ~ A ~ A `I y~ <br />.~. ., .~ , ~ - - --~~ ~'paces'lTax~ <br />CO. REP. SIGNATURE (FIELD ISSUANCE ONLY) ~^^'f <br />WEATHER CODE .............:.... C ~ CCL-WE: 'CL=Cloudy, CR=CZear <br />- - RN=Raining, SN=Snowing, <br />WD=Windy, OR=Other]. <br /> <br /> <br />.~.; <br />',:'t, <br />1, <br />'~ <br />;J~, <br />;`: <br />~; <br />~w <br />[C] =Required Entry. <br />