<br />` ~~ • • Iff lfltfltflttttttl
<br />,~~ sss
<br />~,
<br />~ '~,~=
<br />+.
<br />Mine Name: Te~t'~CpJ~ CR'EE'/C LC1C~~Lr
<br />sr
<br />9` Operator: I E ~d,C C(eE,~ CbiN/=~/V(~
<br />Permittee• Sf}~ I
<br />.County : 17E'LTiQ-
<br />~• .
<br />,.
<br />. , '.
<br />sc
<br />t ,;
<br />s
<br />t:.: .
<br />~.
<br />p'
<br />f °'
<br />C.
<br />r
<br />[C] MINE ID # OR EXPLORATION ID #....... C - Q1.3 - ,
<br />PFIDT TSFIp'f ' ,i~~~ - ],`C TD .
<br />:,
<br />[C] INSPECTION DATE............ Q ~ / 03/ ~j ~ thrti ~ _ / ~ _ / _
<br />(C] INSPECTOR'S INITIALS....... ~ ~11~ [S: WANG user T8 -Use Initials with
<br />no punctuation marks or spaces]
<br />(C] TIME OF DAY (MILITARY TTME)... /ft /~_-:~O_`~_
<br />(C] , INSPECTION TYPE CODE.......... C t,-~LCI-IN: CC=Coal -Complete, CP=Coa1.-
<br />Type of Operation: ('pf}'7r ~~>~~r` ~"'`-
<br />POST INSPECTION CONTACTS......:. n+. V (CG~AG:
<br />JOINT INSPECTION AGENCY CODE.. E'"
<br />Partial, CX=Coal 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=Colo. Wiidiife,
<br />DE=U.S.fnergy,
<br />DW=U. S.Wildiife, FS=ll.S.Forest
<br />Service, NW=Colo. Highway
<br />bept., OS=OSM,:Sf',State Engr.
<br />(Water Resources), OR=Other]-
<br />[C] REASON FOR INSPECTION CODE.... ~-;~ (EL-RS: AG=Other Agency Request,
<br />"CT=Citize~i Complaint, FU=OSM
<br />~0 Day Notice Follow-up,
<br />IE=Normal I&E Program, MU=Memo
<br />Qf Understanding, OR=Other,
<br />:SI=Surety-Related)
<br />CO. REP. PRESENT.. Q~ '~ I~ ~ ~/ _ ~ ~ J(t~..
<br />~' ~Q spaces Max]
<br />CO. REP. SIGNATURE (FIELD ISSUANCE 'ONLY) (~'°_7~// I 3~~7
<br />DA
<br />[C] WEATHER CODE..............,:.. ~ ~tCL•WE:` CL~Cloudy, CR=Clear,
<br />RN=Raining, SN=Snowing,
<br />WD=Windy, OR=Other]
<br />>~
<br />-~,
<br />t,::;.
<br />a4.;:a :,
<br />~: ,
<br />NOTE: [C] =Required Entry.
<br />
|