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-~,- ~°.,S c-9s -°'° `~ °" III IIIIIIIIIIIIIIII <br />~, ~~ ~~ orz. C~ ~`. 999 <br />~, COLORADO DIVISION OF MINERALS AND GEOLOGY <br />COAL INSPECTION REPORT <br />• ,.,. <br /> <br />MINE NAME: <br />OPERATOR: <br />PERMITTEE: <br />ADDRESS: <br />COUNTY: /~, ! ~ _ <br />TYPE OF OPERATION: //%p ,( <br />i <br />PERMIT STATUS: ~ AC=Active, AP=Application in Review, CO=Under Cease Order, <br /> IN= Inactive/Permanent Cessation, RV=Revoked, SU=Suspended, <br /> TC= Temporary Cessation, OR=Other <br />ICl MINE ID OR EXPLORATION ID NO. L- - ~ ~ - _Q ~ ~ - <br />ICl INSPECTION DATE ~7 ~ / ~' ~ / <br /> ITIA <br />S ~ ~ <br />' ~ <br />ICI INSPECTOR <br />S IN <br />L ? <br /> <br />ICl <br />TIME OF DAY (MILITARY TIME) <br />l~ / <br />X : Z S <br /> ~ ~ <br />ICI INSPECTION TYPE CODE - CC=Coal-Complete, CP=Coal-Partial CX=Coal <br /> Exploration, IL=Illegal Operation <br /> " J <br /> POST INSPECTION CONTACTS r NO=None, BL=USBLM, CE=US Corps of <br /> Engineers, CH=C010 Health Dept, CL=C010 Land <br /> JOINT INSPECT. AGENCY CODE ~ U Board, CT=Citizen, CW=CoIo Wildlife, DE=U.S. <br /> Energy, OW=US Wildlife, FS=U.S. Forest <br /> Service, HW=CoIo Highway Dept, OS=OSM, <br /> SE=State Engineer (Water Resources) <br />(CI REASON FOR INSPECTION CODE _ AG=Other Agency Request, CT=Citizen <br />^ Complaint, FU=OSM 10-Day Notice Follow-up, <br />IE=Normal I&E Program, MU=OSM Random <br />Sample Inspection, SI=Surety Related <br />COMPANY REPRESENTATIVE PRESENT <br />CO. REP. SIGNATURE iFIELD ISSUANCE ONLY) ~1" ~~i~'-~^ <br />/ ~ ,_ IDatel <br />~ / / ,, <br />-{- ~ /~ 7 ~ <br />INSPECTOR'S SIGNATURE ~~/~:, q ~ ~'~/'~~ 7 G/+,S <br />IDatel <br />ICI WEATHER CODE G ~~ CL=Cloudy, CR=Clear, RN=Raining, <br />SN =Snowing, WQ =Windy <br />INSPECTION REPORT ISSUANCE DATE ~~ Z~ y~7 <br />i <br />NOTE: ICI =Required Entry <br />WHITE -File YELLOW -Operator <br />r <br />PINK - S r <br />pe[ialist ~; <br />