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<br />For the Folly„iig Entries, Circle The Appropriate Choice: <br />n5 p9 .: t? do OUn In CO~np 1dnCe, <br />NA = Inspection Topic not applicable, <br />N Nit Inspected, <br />R =Inspectea and Comments noted, <br />Y Inspectea and Violations (NOV) or Cessation Order (C01 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 />5 =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 /> CORDS........... L Y / NA /t~/ R / Y / B / T / S ] <br />LCJ SIGNS AND MARKERS ................. L Y / NA / N / ®/ Y / B / T / $ ] <br />ICJ ROADS ............................. L Y / NA / ©/ R / V / B / T / S J <br />LCJ HYDROLOGIC BALANCE ................ L Y / NA / N /~k / Y / B / T / S ] <br />LCJ BACKFILL 8 GRADING ................ L Y / NA / N /®/ V / B / T / S ] <br />LCJ EXPLOSIVES ........................ L Y / ®/ N / R/ V / B / 7 / S J <br />L~:J PROCESSING MASTES ................. L Y / ® / N / R / V / B / T / S J <br />LCJ SUPPORT FACILITIES ................ L Y / ~/ N / R / V / 8 / T / S ] <br />L~] TOPSOIL ........................... L Y / NA / Q/ R / V / B / T / 5 J <br />LCJ GENERAL MINE PLAN COMPLIANCE,,,,,, L ®/ NA / N / R / V / B / T / S ] <br />LCJ FISH 8 MILDLIFE ................... L Y / NA / QI / R / V / B / T / S <br />LC1 REVEGETATION ...................... l Y / NA / N /®/ V / B / T / S ] <br />LCJ A1R RESOURCE PROTECTION........... l Y / ®/ N / R / V / B / T / S ] <br />LC] SLIOES 6 DAMAGE ................... L Y / NA / N /®/ V / B / T / S <br />LCJ SUBSIDENCE ........................ L Y / ®/ N / R / V / B / T / S ] <br />LCJ EXCESS SPOIL b DEVELOPMENT WASTE.. L Y / NA /~/ R / V / B / T / S ] <br />LCJ OFFSITE SUPPORT FACILITIES........ L Y / NA / N / R / V / B / T / S ] <br />LCJ RECLAMATION SUCCESS ............... L Y / NA /©/ R / V / B / T / S ] <br />LCJ SPECIAL CATEGORIES OF MINING...... L Y / NA N / R / Y / B / T / S ] <br />I1) L20 <br />(2) -------------------- Spaces <br />(3) -------------------- Max] <br />- - - - - - - - - - - - - - - - - - - - <br />LCJ OTHERS ............................ L Y / NA N / R / V / B / T ] <br />I1) - - - - - L20 <br />(2) -------------- -_____ Spaces <br />(3) -------------------- MaxJ <br />NOTE: ICJ ~ Required Entry. <br />~-~q -93 <br />~/~~ <br />