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RECLAMATION VISUAL INSPECTION FORM <br />3li Zt 14 <br />Date: Site/Map #: -1714 Inspected By: <br />. -- <br />Location: <br />Year Reclaimed: JE!g?,0/4 Seed Mix: <br />Dominant Vegetation: (include grasses, forbs, shrubs, warm season grasses, etc. by spp.) <br />Weed Problems <br />General <br />Erosion/Site Stabilization: <br />Recommendations: <br />SAE Designation: Drill Hole: _ Typical —Flat _ Well Vegetated <br />Soil Pile: — Typical — Large — Well Vegetated <br />