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;~ ; <br />~II ~I~~I~~I~~~~~~I~ <br />999 <br />CULOkAUI~ NlIJEU LANG RELLAMAT I ~~~; ::: ~ ~ .: ;~: <br />:.UAL INSPECTION REPGkT <br />Nine Name: Qi~- ~~/p„ , .; <br />n~ 1~ ,.i.:.r~.ss: <br />-//J// ,, <br />ilPerdtur: ~fi7iy ~Q~rry [n <br />Permittee: ,nd,,,~) ~~ ~ S <br />County ~ (~. X ~/~. ~/ ~~- (~ <br />type of OPeration: ~ G U ~0~ yl3 <br />LCJ MINE IO p OR EXPL ATIO D N....... - <br />C o a-~ <br />vFITiT ~`T';C~t PFTD3- ZT-T6 <br />LCJ INSPECTION DATE............ ~1 / n~/ ~~tl'~ru ~/ / O~/ y~ <br />LCJ [IJSPECTOR'S INITIALS....... S ES LS: WA1+G User ID - Use Initials with <br />nc punctuation marks o+~spacesJ <br />LCJ TIME OF DAY (MILITARY TIME)... /ol 3 S~ <br />LCJ INSPECTION TYPE CODE.......... ~~ L LCL-IN: CC=Coal - Complete, rp=Coal - <br />Partial, CX=Coal Exploration, <br />IL=Illegal Operation] <br />POST INSPECTION CONTACTS...... 1vd lCL-A,: NU=None, BL=U,S.BLM, <br />CE=U.S.Corps. of Engineers, <br />LH=Colo. Hearth Dept., <br />CL=Colo. Land Board, <br />,J CT=citizen, CW=Colo. Wildlife, <br />JOINT INSPECTION AGENCY CODE.. Lv ~ 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.... ~L ~ LCL-RS: AG=Other Agency Request, <br />CT=Citizen Complaint, FU=OSM <br />10 Day Notice Follow-uo, <br />IC=Normal I8E Program, MU=Memo <br />Of Understanding, OR=Other, <br />SI=Surety-Related) <br />CO. REP. PR ESENT..,~ LQ ~, ~ _ C~~ ~ ~ <br />~ - - - -L7T1 ~aces~la~ <br />CO. REP, SIGNATURE (FIELD ISSUANCE ONLY) <br />LCJ <br />WEATHER CODE .................. G L, LCL-WE: ~L=Cloudy, CR=Clear, <br />RN=Raining, SN=Snowing, <br />WD=Windy, OR=Other) <br />NOTE: LCJ =Required Entry. <br />WHITE - File YELLOW - Operator <br />PIWK - Specialist <br /> <br />