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RECLAMATION VISUAL INSPECTION FORM <br />Date: 7 d 1j r Site /Map #: L_(- 11- I Inspected By:� <br />Location: <br />Year Reclaimed: 29�2'� Seed Mix: _ —k <br />Dominant Vegetation: (include grasses, forbs, shrubs, warm season grasses, etc. by spp.) <br />Ag5"rl L. <br />PCB 5� . <br />Weed <br />General Health: <br />Erosion /Site Stabilization: <br />Notes: <br />Recommendations: <br />AM <br />n <br />�c �� <br />A",L -- <br />SAE Designation: Drill Hole: _ Typical _ Flat _ Well Vegetated <br />Soil Pile: — Typical _ Large _ Well Vegetated <br />