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<br /> COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY
<br /> COAL INSPECTION REPORT
<br /> MINE NAME: E[-K 013EEk IA4/A/6 ADDRESS:
<br /> OPERATOR: Qx6ow M/myr, , L LC ,MrA/- Jin-7 /"f/GF,R
<br /> PERMITTEE: StM6 P0, '9©X Jo,?_15
<br /> COUNTY: 0E M l CyUNN/-SD AJ 5614,5R SG:Z eo 61-4 3
<br /> TYPE OF OPERATION: SURFACE UNDERGROUND ✓ LOADOUT
<br /> OWNERSHIP: FEDERAL ✓ NON-FEDERAL
<br /> PERMIT STATUS: _ AC=Active,AP=Application in Review, CO=Under Cease Order,
<br /> IN=Inactive/Phase II Release, PC=Permanent Cessation, RV=Revoked,
<br /> SU=Suspended,TC=Temporary Cessation,OR=Other
<br /> [C] MINE ID OR EXPLORATION ID NO. C - 6 / -_0 Z
<br /> [C] INSPECTION DATE 0 Z l ?, (o / d 9
<br /> [C] INSPECTOR'S INITIALS L- 7-
<br /> [C] TIME OF DAY(MILITARY TIME) 0 Q 0
<br /> [C] INSPECTION TYPE CODE C CC=Coal-Complete,CP=Coal-Partial CX=Coal
<br /> Exploration,AI=Aerial, IL=Illegal Operation
<br /> POST INSPECTION CONTACTS /V 0 NO=None, BL=USBLM,CE=US Corps of
<br /> Engineers,CH=Colo Health Dept,CL=Colo Land
<br /> JOINT INSPECT.AGENCY CODE /V 0 Board,CT=Citizen,CW=Colo Wildlife, DE=U.S.
<br /> Energy, DW=US Wildlife, FS=U.S. Forest Service,
<br /> HW=Colo Highway Dept,OS=OSM,SE=State
<br /> Engineer(Water Resources)
<br /> [C] REASON FOR INSPECTION CODE iz AG=Other Agency Request, CT=Citizen Complaint,
<br /> FU=TDN Follow-up, IE=Normal I&E Program,
<br /> MU=Memo of Understanding,OF=OSM Special Focus,
<br /> ON=OSM NOV Follow-Up, OS=OSM Oversight,
<br /> PR=Pre-operational,SI=Surety Release,SR=Surety
<br /> Related
<br /> [C] Inspector did_ did not ✓receive documents during this Inspection. (If any documents were received,
<br /> provide a narrative and a list of the documents in Section III of this report.)
<br /> COMPANY REPRESENTATIVE PRESENT
<br /> Al CT e -- -
<br /> CO. REP. SIGNATURE(FIELD ISSUANCE ONLY)
<br /> (Date)
<br /> INSPECTOR'S SIGNATURE QiL!.�Q. ✓t-K2 _ 8 '?/VA ZOO
<br /> (Date)
<br /> [C] WEATHER CODE 1— CL=Cloudy,CR=Clear, FG=Foggy, RN=Raining,
<br /> SN=Snowing,WD=Windy
<br /> INSPECTION REPORT ISSUANCE DATE ZYR01-ch zw9 _
<br /> NOTE: [C] = Required Entry
<br /> WHITE-File YELLOW-Operator PINK-Specialist
<br />
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