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RECLAMATION VISUAL INSPECTION FORM <br />Date: e7-5-20f3 Site/Map #: L&A-� 11 -Z Inspected By: S-GU/ ) <br />Location: <br />Year Reclaimed: Lv! z Seed Mix: der; t'% Cjj -P-- <br />Dominant Vegetation: (include grasses, forbs, shrubs, warm season grasses, etc. by spp.) <br />461' .42e <br />Weed Problems: <br />General Health: <br />Erosio <br />Notes: <br />Recommendations: <br />SAE Designation: Drill Hole: _ Typical ZPat _ Well Vegetated <br />Soil Pile: — Typical _ Large _ Well Vegetated <br />