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For The Following Entries, Circle The Appropriate Choice: <br />= nspec e an oun to comp lance, <br />NA = Inspection Topic not applicable, <br />N = Nit Inspected, <br />R =Inspectea and Comments noted, <br />V =Inspectea ana Violations (,~OV) or Cessation Order (COI issues, <br />B =Inspected and both Comments noted 8 Violations or Cessation <br />Order issued, <br />T = 10 Day Notice Issues by OSM Oversight Personnel, <br />S =Sample taken and sent to the lab from analysis - describe <br />type ana location of sample taken under comment section, <br />GENERAL INSPECTION TOPICS: <br /> CORDS........... L Y / NA /~ / R / V / B / T / S ] <br />LCJ SIGNS AND MARKERS ................. L Y / NA / N /ER / V / 8 / T / S ] <br />LCJ ROADS ............................. L Y / NA / N /~ / V / B / T / S ] <br />LCJ HYDROLOGIC BALANCE ................ L Y / NA / N / ~ / V / B / T / S J <br />LCJ BACK FILL 8 GRADING ................ L Y / ~YA1/ N / R / V / B / T / 5 ] <br />LCj EXPLOSIVES ........................ L Y /~/ N / R / Y / 8 / T / S J <br />LCJ PROCESSING WASTES ................. I Y / J~ / N / R / Y / B / T / S J <br />LCJ SUPPORT FACILITIES ................ L Y / NA / N / R / V / B / T / S ] <br />LCJ TOPSOIL ........................... L Y / NA /~ / R / V / B / T / S J <br />LC1 GENERAL MINE PLAN COMPLIANCE,,,,,, L am/ NA / N / R / V / B / T / S J <br />LCJ FISH 8 WILDLIFE ................... L Y~/ NA / N / R / V / B / T / S ] <br />LCJ REVEGETATION ...................... L Y / NA / J~/ R / V / B / T / S ] <br />LCJ AIR RESOURCE PROTECTION........... L Y / NA /Ct~ / R / V / B / 7 / S J <br />LCJ SLIDES 8 DAMAGE ................... L Y /~ / N / R / V / B / T / 5 ] <br />LCJ SUBSIDENCE ........................ L Y / NA / ® / R / Y / B / T / S ] <br />LCJ EXCESS SPOIL 8 DEVELOPMENT WASTE.. l Y /~ / N / R / V / B / T / 5 J <br />LCJ OFFSITE SUPPORT FACILITIES........ L Y / <br />/ N / R / V / B / T / S <br />LCJ RECLAMATION SUCCESS ............... L Y ~ <br />/ NA / N / R / V / B / T / S ] <br />LCJ SPECIAL CATEGORIES OF MINING...... L Y /1..~ / N <br />~/ / R / Y / B / T / S ] <br /> (1 ) l 20 <br /> (2) ----------- - --- - - - - - Spaces <br /> (3) ----------- <br />- - - - - - - - - - - - <br />- --- <br />- - - - <br />- - <br />- - <br />- - <br />- - <br />- Max] <br />lCJ OTHERS ............................ L Y/ ~A N/ R/ Y / B / T J <br />(1) L20 <br />(2) -------------------- Spaces <br />(3) -------------------- Max) <br />- - - - - - - - - - - - - - - - - - - - <br />NOTE: LCJ = Required Entry. <br />