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<br />
<br />CULUkPD~, MINEi+ LAND RECLAMAII~:,4 ,,; .: ,r;
<br />;,O AL INSPECTI01+ REPGki
<br />Mine Ndme: ~~O~nr a~/ 1~ /~'~irt/~o / /J
<br />Upend ter: ~~E~ L(,Yvr~.rh ( ~ X
<br />Permi ttee: ,Q ~,~/~,~,,_,c
<br />County: ~f( Occ tiL
<br />Type of Operation: ~
<br />LCJ MIIJE ID # OR EXPLORATI N ID #....... ~' -
<br />vFILT
<br />:, ci:` :'r s s
<br />/~LQ,o , f~ z ~6 ad l
<br />LCJ INSPECTION DATE............ G s/ 07~ / ~',j rr,ru Q S / o? 7 / ~ 3
<br />LCJ INSPECTOR'S INITIALS....... S'~S LS: WP1+C User ID - Use Initials with
<br />nc Gun~tuation marks or spaces)
<br />LCJ TIME OF DAY (MILITARY TIME)... ~-jC 1 (~
<br />LCJ INSPECTION TYPE CODE.......... ~'~ LCL-!N: CC=Coal - Conplete, CP=Coal -
<br />Partial, CX=Coal Exploration,
<br />IL=Illegal Operation]
<br />POST INSPECTION CONTACTS...... /I.JD LCL-A,
<br />JOINT INSPECTION AGENCY CODE.. ~d
<br />NG=None, BL=U.S.B LM,
<br />CE=U. S.Corps, of Engineers,
<br />CH=Colo. Health Dept.,
<br />CL=Colo. Land Board,
<br />CT-Citizen, CW=Colo. Wiltllife,
<br />DE=U.S.Energy,
<br />OW=U. S.Wildlite, FS=U. S. Forest
<br />Service, HW=Colo. Highway
<br />Dept., OS =OS M, SE=State Engr,
<br />(Water Resources), OR=Other)
<br />LCJ REASON FOR INSPECTION CODE.... ~g lCL-RS: AG=Other Agency Request,
<br />CT=Citizen Complaint, FU=OSM
<br />10 Day Notice Follow-up,
<br />IE=Normal I8E Program, MU=Memo
<br />Of Understanding, OR=Otlier,
<br />Sf=Surety-Related)
<br />CO. REP, PRESENT.. ell (~ ~~_ ~-(C~ // L ~ Q ~-_
<br />LZII ~$oaces~a7
<br />CO. REP. SIGNATURE (FIELD ISSUANCE ONLY) (~=,~,a. /~y)>(?,OIy..L, ,5-293
<br />LCJ WEATHER COOE .................. C ~ LCL-WE: CL=Cloudy, CR=Clear,
<br />R ~ RN=Raining, SN=Snowing,
<br />WD=Windy, OR=Other)
<br />NOTE: LCJ Required Entry.
<br />WHITE -File YELLOW - ODeratur PINK - Specialist
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