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<br />For The Following Entries, Circle The Approrpiate Choice: <br />= nspec a an ou~in comTiance, <br />NA = Inspection Topic not applicable, <br />N =Not Inspected, <br />R =Inspected and Comments noted, <br />V =Inspected and Violations (NOV) or Cessation Order (CO) issue <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 /> AVAILABIL TY 0 R CORDS........... [ Y / NA /~/ R / V / B / T / S ] <br />[f] SIGNS AND MARKERS ................. [ Y / NA /~ / R / V / B / T / S ] <br />~l.] ROADS ............................. [ Y / NA / N /(~j/ V / B / T / S ] <br />[~] HYDROLOGIC BALANCE ................ [ Y / NA / N / / V / B / T / S ] <br />[~J BACKFILL & GRADING ................ [ Y / NA / N J~i V / B / T I S ] <br />[(:] EXPLOSIVES ........................ [ Y / NA /®/ R / V / B / T / S ] <br />[C] PR(1CESSING WASTES ................. [ Y /~ / N / R / V / B / T / S ] <br />[C] SUPPORT FACILITIES ................ [ Y / NA / N /®/ V / B / T / S ] <br />[C] TOPSOIL ........................... [ Y / NA / N /®/ V / B / T / S ] <br />[C] GENERAL MINE PLAN COMPLIANCE...... [ Y / NA / N / R / V / B / T / S ] <br />[CJ FISH & WILDLIFE ................... [ Y / NA / NQ/ R / V / B / T / S ] <br />[C] REVEGETATION ...................... [ Y / NA /~/ R / V / B / T / S ] <br />[C] AIR RESOURCE PROTECTION........... [ Y / NA / N /~ / V / B / T / S ] <br />[C] SLIDES b DAMAGE ................... [ Y / NA /~N / R / V / B / T / S ] <br />[C] SUBSIDENCE ........................ [ Y / ®/ N / R / V / B / T / S ] <br />[C] EXCESS SPOIL & DEVELOPMENT WASTE.. [~/ NA / N / R J V 1 B / T / S ] <br />[C] OFFSITE SUPPORT FACILITIES........ [ Y / ® / N / R / V / B / T / S ] <br />[C] RECLAMATION SUCCESS ............... [ Y / NA / ©/ R / V / B / T / S ] <br />[C] SPECIAL CATEGORIES OF MINING...... [ ©/ NA / N / R / V / B / T / S ] <br />________ _______ Spaces <br />(3) -------------------- Max] <br />[C] OTHERS ............................ [ Y / NA / N / R / V / B / T ] <br />(1) -------------------- [20 <br />(2) -------------------- Spaces <br />(3) -------------------- Max] <br />NOTE: [C] = Required Entry. <br />