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RECLAMATION VISUAL INSPECTION FORM <br />Date: !® -7-3 -0- Site/Map #: Ite ` 30 Inspected By: <br />Location: <br />Year Reclaimed: Zofg Seed Mix: <br />Dominant Vegetation: (include grasses, fortis, shrubs, warm season grasses, etc. by spp.) <br />Weed <br />General Health:_s' <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 />