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<br />- ~ • <br />For The Following Entries, Circle The Approrpiate Choice: <br />Y = Inspecte an oun in comp lance, <br />NA = Inspection Topic not applicable, <br />N =Not Inspected, <br />R = Inspected.;and Comments noted, <br />V = Inspecte wed Violations (NOV) or Cessation Order (CO) issued, <br />B =Inspected and both Comments noted & 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 />C AVAILABILITY OF RECORDS........... [ Y / NA / N /U/ V / B / T / S ] <br />[C] SIGNS AND MARKERS ................. [~/ NA / N / R / V / B / T / S ] <br />[C] ROADS ............................. [L,YJ / NA / N / R / V / B / T / S ] <br />[C] HYDROLOGIC BALANCE ................ [ Y / NA / N / ~/ V / B / T / S ] <br />[C] BACKFILL & GRADING ................ [ Y / NA / N / R / V / B / T / S ] <br />[C] EXPLOSIVES ........................ [ Y / NA / N / R / V / B / T / S ] <br />[C] PROCESSING WASTES ................. [ Y / NA; '/ N / R / V / B / T / S ] <br /> <br />[C] SUPPORT FACILITIES ................ [ Y? / NA / N / R / V / B / T / S ] <br />[C] TOPSOIL ........................... ~~Y~ / NA / N / R / V / B / T / S ] <br />[C] GENERAL MINE PLAN COMPLIANCE...... [ Y / NA / N /~R1/ V / B / T / S ] <br />[C] FISH & WILDLIFE ................... [~Y' / NA / N / R / V / B / T / S ] <br />[C] REVEGETATION ...................... [ Y / NA / N /~ V / B / T / S ] <br />[C] AIR RESOURCE PROTECTION........... [ Y /;'N~' / N / R / V / B / T / S ] <br />[C] SLIDES & DAMAGE ................... [ Y /~NA / N / R / V / B / T / S ] <br />[C] SUBSIDENCE ........................ [ Y, / NA / N / R / V / B / T / S ] <br />[C] EXCESS SPOIL & DEVELOPMENT WASTE.. ~~Y / NA / N /~~/ V / B / T / S ] <br />[C] OFFSITE SUPPORT FACILITIES........ [ Y /~ =N ~ / N / R / V / B / T / S ] <br />[C] RECLAMATION SUCCESS ............... [ Y / NA / N /~~/ V / B / T / S ] <br /> <br />[C] SPECIAL CATEGORIES OF MINING...... [ Y / NA / N / R / V / B / T / S ] <br />1) -------------------- [20 <br />2) Spaces <br />3) -------------------- Max] <br />- - - - - - - - - - - - - - - - - - - <br />[C] OTHERS ............................ [ Y / NA / N / R / V / B / T ] <br />20 <br />Viz) - - - - - - - - - - - - - - - - - - - <br />__________ Spaces <br />(3) -------------------- Max] <br />NOTE: [C] = Required Entry. <br />