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k.': <br />C'OLORA`DO <br />~ ;; Mine Name: ~~"(.G- S~ 9 <br />,.,; • Operator: ~,y. P~e./f E7±'!i <br />- IIIIIIIIIII <br />III IIIIirIg99 <br />ATION DIVjI~ION <br />0 ,REPORT ~ ' <br />.ti, ~ ~ .. ~ <br />.~: ~. <br />r,~ '~_ tea,,'? i ~` <br />,.. ~_~ <br />Permittee: ~' <br />Y <br />County: <br />F+~~9•t' <br />~i <br />Type of Operation: U ED , <br />.': ; ., . r <br />[C]: MINE ID # OR EXPLOR ~"I;ONrID #.....'. G-•.`="" [ - 0 ~`f - <br />,'~ '`, PFIDT <br />vt •.~ ~ ~ <br /> <br />,fir t <br />[C] INSPECTION DATE....... .. ~ <br />Z / ZG /., <br />-- <br />_ ru OZ./ 27 / ~Z. <br />-- - <br />'. ;.. <br />[C] INSPECTOR'S INITIALS......: ~ ~. <br />~,,;;~(/~' [S: WA <br />ser ID -Use Initi~ahs with <br />•, <br />,,~. no punctuation marks or spaces] ,; <br />4.' [C] TIME OF DAY (MILITARY TIME).... r-~ O (Srq-ar Z~LC~ ~, ?'~ <br />;?s:.a <br />~ <br /> <br />." <br />[C] 'INSPECTION TYPE CODE.......... ; <br />C' '`~CCL-IN: <br />CC=Coal -Complete, CP=Coal - <br /> <br />, '1 • - - P.a`~rt.ial, CX=Coa1~ Exploration, <br />n e. <br />'' <br />':• t on] <br />- hL~-'T~1~1-ega1 Opera <br />R p {~ <br />" <br />~ POST INSPECTION,C9,~,laTACTB:~..... N 0 [CL-AG: I1~0=T1"o,~e, BL=U.S.BLM, <br />~ - - '© :S.Corps. of Engineers, <br /> <br />~ _G - olo. Health Dept., <br />'+_:. <br />:~; <br />~. <br />..& 'Go);o.r.Land Bo a <br />ard, <br />, <br />"~~; o. Wildlife, <br />~ - 't~i~e~q , CW=C~o~ <br /> <br />,; JOINT INSPECTION'AGENCy~CODE.. N0 ~ <br />~` D '.$.`.:F~,i``ergy, <br />t <br />` ' ~`~- - - N.-Lr,:S;:~`i'1'dlife,I FS=U.S.Forest <br />' <br />' <br />^ <br /> <br />~~ :;Service, HW=.Co1:o~.IHighway <br />+~ t.. •~• <br />~• Dept;.,.0aS=0SM;'=SE=State Engr. <br /> (Wa',t~r;'~Re ources ) ~, OR=Other] <br /> <br /> FOR INSPECTION CODE....' <br />[C] REASON /` E [CL-RS: AG=Other Agency Rquest, <br />•. . - -` CT=Citizen Compb~ ant, FU=OSM <br />. <br />y- 10 Day Notice Fo hlow-u p, <br /> IE=Normal I&E Pr ogram,"MU=Memo <br /> Of Understanding~,OR=Other, <br />~., SI=Surety-Rel ateid] <br />~~ . PRESENT.. ~ F /P l~ <br />CO. REP ~ < <- T 6 /~( N S O <br />. . <br />- - - - <br />~ <br />- ! - - - - - - - -C2iI ~p`aces~la~ <br />k . <br />._ <br />CO. REP. SIGNATURE (FIELD ISSUANCE - <br />,c..4L~ ~"$'7 <br />~Z <br />tt <br />I`.; <br /> CC] WEATHER CODE .......... ...... <br />~~ C R [CL-WE: C~ar, <br />in <br />C <br />~ <br /> owing, <br />n <br />g, <br />SN <br />RN=Ra <br /> WD=Windy, OR=Qther] <br /> NOTE: [C]. =Required Entry. <br />"_ -WHITE File •"~ YELLOWw`, Operator PINK - SI e cia•Lista- - ,~. <br />~ <br />~;7 <br />~' ~' ~yv^^.r~a~w'Y.iAa~ ~a } •~r: x. '!roy'7!-'it v, y~ <br />i <br /> <br />