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RECLAMATION VISUAL INSPECTION FORM <br />Date; ifl Inspected By:� <br />Location: t ' <br />Year Reclaimed: Gn8 Seed Mix: <br />Dominant Vegetation: (include grasses, forbs, shrubs, warm season grasses, etc. by spp.) <br />104 Z_AZ_- <br />Weed Problems; <br />General Health: <br />Erosion/Site Stabilization: <br />Recommendations: <br />SAE Designation: Drill Hole: _ Typical _ Flat _ Well Vegetated <br />Soil Pile: — Typical _ Large — Well Vegetated <br />