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REC,L/AMATION VISUAL INSPECTION FORM <br />Date:' c ?/�x -o � 59 Site /Map #: Luj -# - Inspected By: `r <br />Location: <br />Year Reclaimed: 2o /Z_ Seed Mix:.1 <br />Dominant Vegetation: (include grasses, fortis, shrubs, warm season grasses, etc. by spp.) <br />,4 ee�, <br />1► <br />Ax <br />Weed Problems: <br />General Health: <br />Recommendations: <br />SAE Designation: Drill Hole: _ Typical _ Flat _ Well Vegetated <br />Soil Pile: — Typical _ Large — Well Vegetated <br />