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<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 = Nnt Inspected, <br />R =Inspectea and Comments noted, <br />V =Inspected ana Violations (NOV) ur Cessation Order (C01 issuea, <br />B = Inspected and both Comments noted 8 Violations or Cessation <br />Order issuea, <br />T = 10 Day Notice Issued 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 / N /~ V / B / T / $ ] <br />LCJ SIGNS AND MARKERS ................. L Y / NA / N /G V / B / T / S ] <br />LCJ ROADS ............................. L~ NA / N / R / V / B / T / S J <br />LCJ HYDROLOGIC BALANCE ................ L Y / NA / N /®/ V / B / T / S ] <br />LCJ BACKFILL & GRADING ................ ~/ NA / N / R / V / B / T / S J <br />LCJ EXPLOSIVES ........................ L Y/ NA / N ~ V / B / T / S J <br />L~=J PROCESSING WASTES ................. L Y / NA / N ~/ V / B / T / S J <br />LCJ SUPPORT FACILITIES ................ L Y / NA / N /®/ V / 8 / T / S J <br />LCJ TOPSOIL ........................... (~/ NA / N / R / V / B / T / S ] <br />LCJ GENERAL MINE PLAN COMPLIANCE...... L©/ NA / N / R / Y / B / T / S J <br />LCJ FISH 8 WILDLIFE ................... L Y / NA / N /~ V / B / T / S ] <br />LCJ REVEGETATION ...................... L~ NA / N / R / V / B / T / S ] <br />LCJ AIR RESOURCE PROTECTION........... L Y / NA / N /~ V / B / T / S J <br />LCJ SLIDES & DAMAGE ................... L Y / NA / N / R / V / B / T / S <br />LCJ SUBSIDENCE ........................ LOY / NA / N / R / Y / B / 7 / S J <br />LCJ EXCESS SPOIL & DEVELOPMENT WASTE., ~ NA / N / R / V / B / T / S ] <br />LCJ OFFSITE SUPPORT FACILITIES........ L~ NA / N / R / V / B / T / S ] <br />LCJ RECLAMATION SUCCESS ............... I(y/ NA / N / R / V / B / T / S ] <br />LCJ SPECIAL CATEGORIES OF MINING...... L Y / NA / N / R / V / B / 7 / S ] <br />(1) L20 <br />(2) -------------------- SDaces <br />(3) -------------------- Max] <br />- - - - - - - - - - - - - - - - - - - - <br />LCJ OTHERS ............................ Ld NA / N / R / V / B / T ] <br />(1 ) '~ i 1 e_-~ i 5 L ~] 3 ~~- ~ a ~ fL J_~ L20 <br />(2) .B.LL~-1~ ~ ~iS~~iLr,.---- SDaces <br />(3) MaxJ <br />- - - - - - - - - - - - - - - - - - - - <br />NOTE: LCJ Required Entry. <br />