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<br />III IIIIII
<br />IIII
<br />I
<br />I IIII
<br />CULUkPG~, +11NEU LANG RECLAMAT i'.I. - , , ; ,r;
<br />~pAL INSPECTION REPfkT
<br />~4ine Name: W„o., 1~~.y2~,, ~iN,~/1
<br />Operdt~Jr:S-~.N~~u-'.-A~ /~'L~niw~ (~.r0.
<br />-,----
<br />f er m i t to e : 5~q.,,,,,
<br />County: Ro,,.~-~-
<br />Type of Gpera lion: (~~/~ed e.~.t
<br />LC J
<br />LCJ
<br />lCJ
<br />LCJ
<br />:•dc. r~ ,., .
<br />-- 6 ~~~s eau ~y~.
<br />-T
<br />MINE ID h OR EXPLORATION ID ~....... ~~- - LI -
<br />PFIuI ~;r 6PT"TD~ L'C-T'S
<br />INSPECTION DATE............ O~ ~~(~2,~ ~ ~3 c~~ru _ _ / _ _ /
<br />IIJSPECTOR' S INI iIALS....... ~ ~ r LS: WA1~G Use~~ ID - Use Initials wi to
<br />nc punctuation marks or spaces)
<br />TIME OF DAY (MILITARY TIME)... (j ~ ~ Q
<br />LCJ INSPECTION TYPE CODE.......... G C LCL-IN: CC-Coal - Complete, CP=Coal -
<br />Partial, CX=Coal Exploration,
<br />IL=Illegal Operation]
<br />POST INSPECTION CONTACTS...... IJ Q LCL-AO
<br />JOINT INSPECTION AGENCY CODE..
<br />NO=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. Wildlife,
<br />DE=U.S.Energy,
<br />OW=U.S.wil dlite, FS=U. S. Forest
<br />Service, HW=Colo. Highway
<br />fiept., OS =OS M, SE=State Engr,
<br />(Water Resources), OR=Other]
<br />LCJ REASON FOR INSPECTION CODE.... T f LCL-RS: AG=Other Agency Request,
<br />CT=Citizen Complaint, FU=OSM
<br />10 Day Notice Follow-uo,
<br />IC=Normal 18E Program, MU=Memo
<br />Of Understanding, OR=Otlier,
<br />SI=Surety-Related)
<br />CO. REP. PRESENT.. I~ ~ ~ ~ _ _ _ _ _ _ _ _
<br />- -LZU maces-AIax7
<br />CO. REP, SIGNATURE IFIELD ISSUANCE ONLY)
<br />LCJ WEATHER CODE .................. ~ ~y LCL-WE: CL=Cloudy, CR=Clear,
<br />RN=Raining, SN=Snowing,
<br />WD=Windy, OR=Other)
<br />NOTE: LCJ Kequired Entry.
<br />WHITE - File YELLOW -Operator PIIJK - Specialist
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