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~, <br />CULfjRA00 M1NED LAND RECLAMATf_~N :,:;i;iurJ <br />COAL INSPECTION REPOkT <br />t4ine Name: /}'f,4Nr ,7f'~~1d <br />Permittee: ~~, <br />County: ~~~~,, <br />III IIIIIIIIIIIIIIII <br />999 <br />Add{/e~~e s s : 2 e~ <br />I U • I~~y Y ~ D <br />Type of Operation: Sr.,r~,cG/l~rl~e.,,,al <br />LCJ MINE ID N OR EXPLORATION ID li....... L - r~'j~ - p ~ 6 <br />PFI~T r ,~ PFTU~ LT-T'3 <br />LCJ <br />LCJ <br />LCJ <br />LCJ <br />LCJ <br />INSPECTION DATE............ 1 (~ / '~ ~j / ~ 2 thru _ _ / _ _ / <br />IIJSPECTOR'S INITIALS....... ~ ~~ lS: WPl+G User ID - Use Initials with <br />no pur,rtuation marks or sDacesJ <br />TIME OF DAY (MILITARY TIME).., p Z Q <br />INSPECTION TYPE CODE.......... ~ ~ LCL-IN: CC=Coal - Complete, CP=Coal - <br />Partial, CX=Coal Exploration, <br />IL=Illegal Operation) <br />POST INSPECTION CONTACTS...... LCL-AG <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 Boartl, <br />CT=Citizen, CW=Colo. Wiltllif?, <br />DE=U. S. Energy, <br />OW=U.S.Wil dlite, FS=U. S. Forest <br />Service, HW=Colo. Highway <br />Dept., OS =05 M, SE=State Engr. <br />(Water Resources), OR=Other] <br />CT=Citizen Complaint, FU=OSM <br />10 Day Notice Follow-up, <br />IC=Normal I8E Program, MU=Memo <br />Of Understanding, OR=Utlier, <br />SI=Surety-Related) <br />CO. REP. PRESENT.. ~ ~ rz r- ~ _ ~ ~.~ ~ ~ ~ ~ r2 H <br />L~TJ ~aces~'la~ <br />REASON FOR INSPECTION CODE.... j, L LCL-RS: AG=Other Agency Request, <br />CO. REP, SIGNATURE (FIELD ISSUANCE ONLY) <br />LCJ WEATHER CODE .................. 1L ~ LCL-WE <br />NOTE: LCJ = Required Entry. <br />WHITE - File YELLOW -Operator <br />CL=Cloudy, CR=Clear, <br />RN=Raining, SN=Snowing, <br />WD=Windy, OR=Other) <br />pIWK - Specialist <br />