9-4040-a

G45-A - COMPREHENSIVE TEST BAN TREATY

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USGS Form 9-4040-A
(rev. 6/27/2016)

OMB Control No. 1028-0059
Approval expires: 10/31/2016

G45

UNITED STATES
DEPARTMENT OF THE INTERIOR
U.S. GEOLOGICAL SURVEY
986 NATIONAL CENTER
RESTON, VIRGINIA 20192
_______________
COMPREHENSIVE TEST BAN TREATY
_______________

INDIVIDUAL COMPANY DATA - PROPRIETARY
Please complete all applicable portions of this form.

Respondent ID: 3333333

BACKGROUND

Reporting Year: 2015

Name and location of operation (MIFORMS)
Name

Name and location of operation (CMS)

Name and location of operation (RCF)

USGS

Address

Respondent 3333333 is not
present in CMS file

City or town AKRON
County

ADAMS

State /
Territory /
Province

Ohio

Respondent 3333333 is not
present in RCF file



ZIP Code /
Postal
Code
Country

USA



Section
Township
Range
Operating
Company
If operating company is a subsidiary, please name controlling
company
US GEOLOGICAL SURVEY2

Note: Please use the Remarks section to provide any additional information regarding your operation.

Base canvass: G34
In the last calendar year, how many explosions with a total charge size of 300 tons of TNT-equivalent, or greater,
did your mining operation conduct? Conducted:
In the next calendar year, how many explosions with a total charge size of 300 tons of TNT-equivalent, or great,
do you expect to conduct? Expect to Conduct:
If this form covers more than one mining operation, and you had information to report in the above questions,
please indicate below the county, State, and number of blasts for each site.

Line code
101

County
ADAMS

State
Ohio

Number of blasts, current year Number of blasts, next year


Not Specified



Not Specified



Not Specified



https://miforms.er.usgs.gov/SA/G45Form.asp

10/5/2016

G45-A - COMPREHENSIVE TEST BAN TREATY

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

Not Specified

Remarks: (up to 1,000 characters)



Person to be contacted regarding this report.
First name:

Last name:

Title:
E-mail:
Address:
City:
State / Territory / Province:



Not specified

ZIP Code / Postal Code:
Country:



USA

Phone:

-

-

Ext

May tabulations be published which could indirectly reveal the data reported above?
Data Source Code 0 

Previous screen

Yes

No

Date of Receipt 20161005 (yyyymmdd)

Review before submission

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https://miforms.er.usgs.gov/SA/G45Form.asp

10/5/2016