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<br />4-.~;y~e of Operation: ~,.,;~A~i r7/ ~ v,4 {4
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<br />.. 11~ / ? FID/ ~ ~ thru /FI'3/ ZE? I/ ~~~~ ,~~ `~,{'~,~
<br />[C] INSPECTION DATE............
<br />T /~/Q [S: WANG User ID -Use initials.with '"+`
<br />[C) INSPEETOR'S INITIALS....... AID no punctuation marks or spaces] '.~.~
<br />[C] TIM(r OF 'DAY (MILITARY TIME)...{ ~ 7~: Q. Q ~,
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<br />,. [C] INSPECTION TYPE CODE....... ~ CL'-IN: CC=Coal Com fete, CP-Coa) ~.
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<br />' ~ Partial, CX;Coal,Exploration,.. fx ,
<br />~, Il=Illegal pperation OS=OSb1~, ~:
<br />• - Oversight, SI`-Surety-Relate~~ ;. ,.
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<br />POST INSPEgCTION CONTACTS...... ' ~ [CL-AG: NO>None; BL=U.S.BLM, ~ •, ,
<br />CE=U.$.Corps..©f Engineers, "!'~~"
<br />~I CH=CgIo. Health Dept., `~'~
<br />~_ CL=Colo. Land Doard, ,~.~
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<br />~ CT=Citizen,.CW=Eo e. Wildlife, ;:: ~.
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<br />JOINT INSPECTION AGENCY CODE.. ~ ~ DE=U.S.£nergy, s,~l
<br />DW=U.S.Wildlife, FS=U.S.Forest ~°
<br />- Scrvice,~HW=Colo. Highway • ,i
<br />Dept„ 9S=pSM, SE=State Engr. Y ~ ~!
<br />„ (Water Resources), OR=Other}' a7,;a
<br />[C] REASON FOR INSPECTION,CODE....'IZ ~ [CL-RS: AG=Other Agehcy Request,
<br />CT=Citizen Complaint, FU=OSM ;.
<br />10 Day Notice Follow-up, ~ ~• -,1•
<br />~ IE=Normal I&E? Prdg~am, MU=Memo
<br />Of Understanding, OR=Other].
<br />CO. REP.. ?RESENT.. l ~ ~'~i
<br />-~--~'~-""`-"'-~[:20 Spaces Max]
<br />CO. REP. SIGNATURE (fIELO ISSUANCE ONLY) ,(~ , !~~
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<br />[C] WEATHER CODE ...............:..~I _ [CL-WE: CL=Cloudy, CR=Clear,
<br />RN=Raining, SN=Snowing,
<br />WD=Windy, OR=Other]
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<br />NO z rc,j =Required Entry :-- .
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<br />,~ . ;. .C], ' MINE ID # OR EXPLORATION ID #.,......
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