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<br />For the Following Entries, Circle The Appropriate Choice: <br />T = Inspected and sound in Compliance, <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 & 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 cortment section, <br />GENERAL INSPECTION TOPICS: <br />CORDS........... L Y / NA / N / ®/ V / B / T / S ] <br />LCJ SIGNS AND MARKERS ................. L Y / NA / A / R / V / B / T / S ] <br />LCJ ROADS ............................. L Y / NA / G~ / R / V / B / T / S ] <br />LCJ HYDROLOGIC BALANCE ................ L Y / NA / ®/ R / V / B / T / S ] <br />LCJ BACKFILL & GRADING ................ L Y /~/~/ R / V / B / T / S ] <br />LCJ EXPLOSIVES ........................ L Y / NA / ®/ R / V / B / T / S J <br />LCJ PROCESSING WASTES ................. L Y / ® / N / R / V / B / T / S J <br />LCJ SUPPORT FACILITIES ................ L Y /~ / N/ R / V / B / T / S J <br />LCJ TOPSOIL ........................... L Y / NA / ®/ R / V / B / T / S J <br />LCJ GENERAL MINE PLAN COMPLIANCE,,,,,, L Y / NA / ®/ R / V / B / T / S ] <br />LCJ FISH 8 WILDLIFE ................... L Y / NA / ®/ R / Y / B / T / S ] <br />LCJ REVEGETATION ...................... L Y / I~ / N / R / Y / B / T / S ] <br />LCJ AIR RESOURCE PROTECTION........... L Y / NA / ®/ R / V / B / T / S ] <br />LCJ SLIDES & DAMAGE ................... L Y / NA /~/ R / V / B / T / S J <br />LCJ SUBSIDENCE ........................ L Y / NA /(~ / R / V / B / T / S 7 <br />LCJ EXCESS SPOIL & DEVELOPMENT WASTE.. L Y / ® / N / R / V / B / T / S ] <br />LC1 OFFSITE SUPPORT FACILITIES........ L Y /~1 / N / R / V / B / T / S J <br />LCJ RECLAMATION SUCCESS ............... L Y / ®/ N / R / V / B / T / S ] <br />LCJ SPECIAL CATEGORIES OF MINING...... L Y / ~/ N / R / V / B / T / S J <br />(1 ) L20 <br />(2) -------------------- Spaces <br />(3) -------------------- MaxJ <br />- - - - - - - - - - - - - - - - - - - - <br />LCJ OTHERS ............................ L Y/ NA / N/ R/ V/ B/ T J <br />(1) L20 <br />(2) -------------------- Spaces <br />(3) -------------------- Max] <br />- - - - - - - - - - - - - - - - - - - - <br />NOTE: LCJ = Required Entry. <br />