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. <br />ti <br />For The Following Entries, Circle The Appropriate Choice: <br />= nspec a an oun in comp lance, <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) 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 /> CORDS........... L Y / NA / N /~/ V / B / T / S ] <br />LC] SIGNS AND MARKERS ................. L Y / NA / N / / V / B / T / S ] <br />LCJ ROADS ............................. L Y / NA / N / R / V / B / T / S ] <br />LC] HYDROLOGIC BALANCE ................ L Y / NA / N / / V / B / T / S ] <br />LC] BACKFILL 8 GRADING ................ L Y / NA / N /~~/ V / B / T / 5 ] <br />LC] EXPLOSIVES ........................ L Y / A / N / R/ V / B / T / S ] <br />L~:J PROCESSING WASTES ................. L Y / NA / N / R / V / B / T / S ] <br />LC] SUPPORT FACILITIES ................ L Y / / N / R / V / B / T / S ] <br />LC] TOPSOIL ........................... L Y / NA / N /~/ V / B / T / S ] <br />LC] GENERAL MINE PLAN COMPLIANCE,,,,,, L Y / NA / N / / V / B / T / S ] <br />LCJ FISH 8 WILDLIFE ................... L Y / NA / N / / V / B / T / S ] <br />LC] REVEGETATION ...................... L Y f NA / N / ! V / B J T ! S ] <br />LCJ AIR RESOURCE PROTECTION........... L Y / NA / N / R / V / B / T / S ] <br />LC] SLIDES 8 DAMAGE ................... L Y / NA / N / R V / B / T / S ] <br />LC] SUBSIDENCE ........................ L Y / NA / N / / V / B / T / S ] <br />LC] EXCESS SPOIL & DEVELOPMENT WASTE.. L Y / NA / N /~/ Y / B / T / S ] <br /> <br />LC] OFFSITE SUPPORT FACILITIES........ L Y / NA / N / R / V / B / T / S ] <br />LC] RECLAMATION SUCCESS ............... L Y / A <br />N / N /~ V / B / T / S ] <br /> // ~~ <br />LCJ SPECIAL CATEGORIES OF MINING...... L Y / ~A/ / N / R / V / B / T / S ] <br />(1) L20 <br />(2) -------------------- Spaces <br />(3) -------------------- Max] <br />- - - - - - - - - - - - - - - - - - - - <br />Lr:] OTHERS ............................ L Y/ NA / N/ R/ V/ 6 1 T] <br />I1) L20 <br />(Z) -------------------- Spaces <br />(3) -------------------- Max] <br />- - - - - - - - - - - - - - - - - - - - <br />NOTE: LC] = Required Entry. <br />