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RECLAMATION VISUAL INSPECTION FORM <br />Date: Site/Map #: Inspected By: f <br />Location: <br />Year Reclaimed: -Z4x' Seed Mix: - 7;F22ieA 1117ri'l/ <br />Dominant Vegetation: (include grasses, fortis, shrubs, warm season grasses, etc. by spp.) <br />2te A45r / <br />Weed Problem; <br />General Health <br />Erosion/Site Stabilization: <br />Notes <br />Recommendations: <br />SAE Designation: Drill Hole: _ Typical _ Flat _ Well Vegetated <br />Soil Pile: — Typical — Large _ Well Vegetated <br />