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Information Collections
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OMB Control No
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Title
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30 CFR Citation
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Form Numbers
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1219-0001
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Certificate
of Electrical Training and Applications for Mine Safety and Health Administration
Approved Tests and State Tests Administered as Part of a Mine Safety and Health Admin.
Approved Program
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75.153 and 77.103
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5000-1
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1219-0003
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Radiation
Sampling and Exposure Records
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57.5037 and 57.5040
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4000-9
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1219-0004
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Roof Control
Plans for Underground Coal Mines
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75.215, 75.220, 75.221, 75.222, and 75.223
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1219-0007
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Mine
Accident, Injury, and Illness Report and Quarterly Mine Employment and Coal Production
Report
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50.10, 50.11, 50.20, and 50.30
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7000-1, 7000-2
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1219-0009
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Training Plan
Regulations and Certificate of Training
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48.3, 48.9, 48.23, and 48.29
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5000-23
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1219-0011
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Respirable
Coal Mine Dust Sampling
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70.201(c); 90.201(c); 71.201(c) and (e); 70.205(c); 71.205(c); 90.205(c);
70.209(a), (c), and (d); 71.209(a), (c), and (d); 90.209(a), (c), and (d); 70.210(b); 71.210(b);
90.210(b); 70.220(a); 71.220(a); 90.220; 71.300(a); 90.300(a); 71.301(d) and (e); and
90.301(d) and (e).
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Miner Operator Dust Cards (no form No.)
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1219-0014
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Hazardous
Conditions Complaints
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43.2, 43.4, 43.7, and 43.8
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1219-0015
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Refuse Piles
and Impoundment Structures--Recordkeeping and Reporting Requirements
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77.215 and 77.226
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1219-0016
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Ventilation
Plan and Main Fan Maintenance Record
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57.8520 and 57.8525
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1219-0019
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Slope and
Shaft Sinking Plans, 30 CFR 77.1900 (Pertains to the surface work areas of underground
coal mines)
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77.19
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1219-0020
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Operations
Under Water
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75.1716, 75.1716-1, and 75.1716-3
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1219-0024
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Application
for Waiver of Surface Sanitary Facilities Requirements (Pertaining to Coal
Mines)
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71.403, 71.404, 75.1712-4,and 75.1712-5
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1219-0025
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Application
for a Permit to Fire More than 20 Boreholes and/or for the Use of Nonpermissible
Blasting Units, Explosives, and Shot-firing Units; Posting Notices of
Misfires
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77.1901-1
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1219-0026
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Ground
Control Plans for Surface Coal Mines and Surface Work Areas of Underground Coal
Mines
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77.1000 and 77.1000-1
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1219-0030
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Main Fan
Operation and Inspection (I-A, II-A, III, and V-A Mines)
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57.22204
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1219-0034
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Records of
Tests and Examinations of Mine Personnel Hoisting Equipment
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56.19022, 56.19023, 56.19121, 57.19022, 57.19023, 57.19121, 75.1400-2,
75.1400-4, 75.1432, 75.1433, 77.1404, 77.1423, 77.1433, 77.1906
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1219-0039
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Gamma
Radiation Surveys
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57.5047
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1219-0040
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Independent
Contractor Registration and Identification
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45.3 and 45.4
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7000-52
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1219-0041
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Program to
Prevent Smoking in Hazardous Areas of Underground Coal Mines
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75.102-1
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1219-0042
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Representative
of Miners, Notification of Legal Identity, and Notification of Commencement of
Operations and Closing of Mines
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40.3, 40.4, 40.5, and 41.20
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2000-7, 7000-51, and 2000-238
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1219-0046
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Escape and
Evacuation Plans (Pertains to Underground Metal and Nonmetal Mines)
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57.11053
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1219-0048
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Respirator
Program Records
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56.5005 and 57.5005
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1219-0049
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Hoist
Operators' Physical Fitness
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56.19057 and 57.19057
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1219-0051
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Escape and
Evacuation Plans for Surface Coal Mines and Surface Facilities and Surface Work Areas of
Underground Coal Mines
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77.1101
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1219-0054
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Fire
Protection (Underground Coal Mines)
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75.1100, 75.1100-3, 75.1103-8, 75.1103-11, 75.1501(a)(3),
and 75.1502
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1219-0065
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Petitions for
Mine Safety Standard Modification
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44.9, 44.10, and 44.11
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1219-0066
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Permissible
Equipment Testing
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6, 7, 15, 18, 19, 20, 22, 23, 27, 28, 33, 35,and 36
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2000-38
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1219-0073
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Mine Mapping
and Records of Opening, Closing, and Reopening of Mines
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75.372, 75.373, 75.1200, 75.1200-1, 75.1201, 75.1202, 75.1202-1, 75.1203,
75.1204, 75.1204-1, 75.1721, 77.1200, 77.1201, and 77.1202
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1219-0082
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Records of
Preshift and Onshift Inspections of Slope and Shaft Areas of Slope and Shaft Sinking
Operations at Coal Mines
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77.1901
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1219-0083
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Daily
Inspection of Surface Coal Mines; Certified Person; Reports of Inspection (Pertains to
Surface Coal Mines)
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77.1713
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1219-0088
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Ventilation
Plans, Tests and Examinations in Underground Coal Mines
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75.310, 75.312, 75.342, 75.351(f), 75.351(h), 75.360-364, 75.370, 75.371, and
75.382
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1219-0089
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Safety
Defects-Examination, Correction, and Records
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56/57.14100, 56/57.13030, 56/57.18002, 57.13030, 57.14100, 56.13015, and
56.13030
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1219-0095
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Explosive
Materials and Blasting Units in Metal and Nonmetal Underground Gassy
Mines
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57.22606(a)
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1219-0096
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Underground
Retorts
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57.22401
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1219-0097
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Rock Burst
Control Plan, (Pertains to Underground Metal/Nonmetal Mines)
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57.3461
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1219-0103
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Notification
of Methane Detected in Underground Metal and Nonmetal Mine Atmospheres
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57.22004(c), 57.22230, 57.22239, and 57.22231
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1219-0116
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Examinations
and Testing of Electrical Equipment Including Examination, Testing, and Maintenance of
High Voltage Longwalls
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75.512, 75.703, 75.800, 75.820, 75.821, 75.900, 75.1001-1, 77.502, 77.800,
and 77.900
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1219-0119
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Diesel-Powered
Equipment in Underground Coal Mines
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75.1901(a), 75.1904(b)(4), 75.1911(i) & (j), 75.1912(h) & (i);
75.1914(f), (g)(5), (h), and 75.1915(a), (b)(5), (c)
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1219-0120
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Occupational
Noise Exposure
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62.110, 62.130, 62.170, 62.171, 62.172, 61.173, 62.174, 62.175, 62.180, and
62.190
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1219-0121
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Safety
Standards for Roof Bolts in Metal and Nonmetal Mines and Underground Coal
Mines
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56.3203(a), 57.3203(a), and 75.204(a)
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1219-0124
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Health
Standards for Diesel Particulate Matter Exposure in Underground Coal
Mines
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75.1915, 72.500, 72.503, 72.510, 72.520, Part 7 or Part 36
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1219-0127
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Certification
and Qualification to Examine, Test, Operate Hoists, and to Perform Other
Duties
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75.100, 75.155, 75.159, 75.160, 75.161, 77.100, 77.105, 77.106, 77.107, and
77.107-1
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5000-41
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1219-0131
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Training,
Training Plans, and Records Under Part 46
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46.3, 46.5, 46.6, 46.7, 46.8, 46.9, 46.11
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1219-0133
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Hazard
Communication - 30 CFR Part 47
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47.31, 47.32, 47.32(a)(4), 47.41, 47.51, 47.71, and 47.73
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1219-0135
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Health
Standards for Diesel Particulate Matter Exposure (Underground Metal and Nonmetal
Mines)
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57.5060, 57.5062, 57.5066, 57.5067, 57.5070, 57.5071, and 57.5075
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1219-0138
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Safety
Standards for Underground Coal Mine Ventilation - Belt Entry Used as an Intake Air
Course to Ventilate Working Sections and Areas Where Mechanized Mining Equipment is
Being Installed or Removed
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75.351(j), (m), (n)(2),(n) (93), (o)(1)(i), (ii), & (iii), (q), (a);
75.352(b); 75.371(ll), (mm), (nn)
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1219-0140
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High-Voltage
Continuous Mining Machines Standards for Underground Coal Mines
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75.832
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1219-0141
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Emergency
Mine Evacuation
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48.3, 50.10, 50.11, 75.1502, 75.1504, 75.1505, 75.1714, 75.1714-3, 75.1714-4,
and 75.1714-8
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2000-222
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1219-0142
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Sealing of
Abandoned Areas Standard
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75.335, 75.336, 75.337, 75.338
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1219-0143
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Qualification/Certification
Program Request for Mine Safety and Health Administration Individual Identification
Number (MIIN)
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5000-46, 77, 75, 48, 90, 70, and 71
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1219-0144
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Coal Mine
Rescue Teams: Arrangements for Emergency Medical Assistance and Transportation for
Injured Persons-Agreements, Reporting Requirements, and Posting
Requirements
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49.16 49.18 49.50 75.1501
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2000-224 and 5000-3
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1219-0146
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Refuge
Alternatives for Underground Coal Mines
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75.1506(c)(2), 75.1507, 75.1508
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1219-0147
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Coal Mine
Dust Sampling Devices
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part 74
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1219-0148
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Proximity
Detection Systems for Continuous Mining Machines in Underground Coal
Mines
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75.1732
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1219-0150
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Pattern of
Violations
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104.1, 104.2, 104.2(a), 104.2(a)(I) to (8), 104.2(a)(7), 104.2(a)(8),
104.2(b), 104.3, 104.3(a) and (b), 104.3(c) and (d), and 104.4
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1219-0151
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Cleanup
Program for Accumulations of Coal and Float Coal Dusts, Loose Coal, and Other
Combustibles
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75.400-2
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1219-0152
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Lowering
Miners' Exposure to Coal Mine Dust Including Continuous Personal Dust
Monitors
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72.100(d); 72.100(e)
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