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RECLAMATION VISUAL INSPECTION FORM <br />Date: 71,012-41 Site/Map #: R5- 5 Inspected By: <br />Location: <br />Year Reclaimed: z0 1,?— Seed Mix:_ <br />Dominant Vegetation: (include grasses, fortis, shrubs, warm season grasses, etc. by spp.) <br />,�-- ' <br />--T� <br />Weed Problem: <br />General Health <br />,'r-/ r- <br />e A <br />Recommendations: <br />SAE Designation: Drill Hole: _ Typical ZFlat _ Well Vegetated <br />Soil Pile: _ Typical _ Large — Well Vegetated <br />