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For The Following Entries, Circle The Appropriate Choice: <br />= nspec a ari oun in comp lance, <br />NA = Inspection Topic not applicable, <br />N =Not Inspected, <br />R =Inspected and Comments noted, <br />Y = Inspected and Violations (NOV) or Cessation Order (CO) issued, <br />B = Inspected and both Comments noted 8 Violations or Cessation <br />Order issued, <br />T = 10 Day Notice Issued by OSM Oversight Personnel, <br />S =Sample taken and sent to the lab from analysis - describe <br />type and location of sample taken under comment section. <br />GENERAL INSPECTION TOPICS: <br /> <br /> CORDS........... L Y / NA /~/ R / V / B / T / S ] <br />LCJ SIGNS AND MARKERS ................. lO / NA / N / R / V / B / T / S J <br />LCJ ROADS ............................. LQ / NA / N / R / V / B / T / S J <br />LCJ HYDROLOGIC BALANCE ................ L Y / NA / N /®/ V / B / T / S ] <br />LCJ BACKFILL & GRADING ................ L Y / NA / N ~/ V / B / T / S ] <br />lC] EXPLOSIVES ........................ L Y/ NA /Q/ R/ V / B / T / S J <br />Lr,J PROCESSING WASTES ................. L~/ NA / N / R / V / B / T / S J <br />LCJ SUPPORT FACILITIES ................ L Y / NA / N /®/ V / B / T / S ] <br />LCJ TOPSOIL ........................... L~/ NA / N / R / V / B / T / S J <br />LC] GENERAL MINE PLAN COMPLIANCE...... l~/ NA / N / R / V / B / T / S ] <br />LCJ FISH & WILDLIFE ................... ~J/ NA / N / R / V / B / T / S ] <br />LCJ REVEGETATION ...................... L Y / NA /~ R / V / B / T / S ] <br />LCJ AIR RESOURCE PROTECTION........... ~l / NA / N / R / V / B / T / S ] <br />LCJ SLIDES 8 DAMAGE ................... L Y / NA ~/ R / V / B / T / S ] <br />LCJ SUBSIDENCE ........................ L Y / NA / N / R / V / B / T / S ] <br />LCJ EXCESS SPOIL 8 DEVELOPMENT WASTE.. l~/ NA / N / R / V / B / T / S ] <br />LCJ OFFSITE SUPPORT FACILITIES........ L Y / NA / N ~/ V / B / T / S ] <br />LCJ RECLAMATION SUCCESS ............... L Y / NA / NQ/ R / V / B / T / S ] <br />LCJ SPECIAL CATEGORIES OF MINING...... L Y /~ / N / R / V / B / T / S ] <br />(1) L20 <br />(2) -------------------- Spaces <br />(3) -------------------- Max] <br />- - - - - - - - - - - - - - - - - - - - <br />lCJ OTHERS ............................ L / NA / N /~/ V / B / T ] <br />n) N~~C_$J~~~~ ~/!~~------- Leo <br />(2) Spaces <br />(3) -------------------- MaxJ <br />- - - - - - - - - - - - - - - - - - - - <br />N07E: LCJ =Required Entry. <br />