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III IIIIIIIIIIIII III <br />CULUkADf, M1NEU LAND RECLAMATI~,t -. .., ,r <br />;,OA! INSPECTION ,RE?kT <br />~1ine tJame: y~~/j1T ifnJ~ //UTr` <br />jpardt~r: `/VL~I~ (J S /~f~ <br />Permi ttee: .St]-~'1 <br />County: FkC7"Jpn7~ <br />lype of Operation: LLI~~D~~. P,Pi~r~7f~ <br />M~. ~//en CUCzzzul~` <br />~.o.a~X ~y <br />F/orP~/ ~P/ C ~ ~ / z-Z6 <br /> <br />LCJ ~ .~ <br />MINE ID N OR EXPLORATION ID 9. <br />...... <br />C - ® I _ O ~ `~_ <br /> PFILT ~";I)% -PT'70~ ~[-T3 <br />LCJ INSPECTION DATE............ Z/ Z ,(~ / `)3 tP~ru _ / _ / <br />LCJ INSPECTOR'S INITIALS....... _~'~~ LS: WA1+L Us_~~ ID - Use Initials witn <br /> ne pu~~~_tuation marks or spaces) <br />LCJ TIME OF DAY (MILITARY TIME)... ~ 1 Q v <br />LCJ INSPECTION TYPE CODE.......... ~'~ LCL-IN: CC=t.oal - Conplete, CP=Coal - <br /> partial, CX=Coal Exploration, <br /> IL=Illegal Operation) <br /> POST INSPECTION CONTACTS...... ~ ~ LCL-AG: NG=None, BL=U.S.B LM, <br /> _ CE=U, S.Oorps, df Engineers, <br /> CH=Colo. Health Dept., <br /> CL=Colo. Land Boartl, <br /> CT=Citizen, CW=Colo. Wildlife, <br /> JOINT INSPECTION AGENCY CODE.. JN d DE=U.S.Energy, <br /> OW=U.S.wil dlite, 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.... ~~ LCL-RS: AG=Other Agency Request, <br /> CT=Citizen Complaint, FU=OSM <br /> 10 Day Notice Follow-up, <br /> IE=Normal 18E Program, MU=Memo <br /> Of Understantling, OR=Other, <br /> SI=Surety-Related) <br /> CO. REP. PRESENT.. /~ L L ~ N <br />~ F~-~/~/ - <br /> _ - - - - - -lZII maces-Alaz7 <br />CO. RED, SIGNATURE (FIELD ISSUANCE ONLY) <br />LCJ WEATHER CODE .................. ~' \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 />P1WK - Specialist <br />