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' For the Following Entries, Circ% the Appropriate Choice: Y = Inspected and Found in Compliance NA = Inspection Topic Not Applicable N = Not Inspected R = Inspected and Comments Noted V = Inspected and Violations (NOV) or Cessation Order (COI Issued B = Inspected and Both Comments Noted and Violations or Cessation Order Issued T = Ten-Day Notice Issued by OSI'JI Oversight Personnel S = Sample Taken and Sent to the Lab for Analysis (Describe type and location of sample taken under Comment section.) GENERAL INSPECTION TOPICS: (Cl AVAILABILITY OF RECORDS ................ Y / NA / N /(~i / V / B / T / 5 lC1 SIGNS AND MARKERS .................... Y / NA / N /~ / V / B / T / S IC] ROADS .............................. Y / NA / N /®/ V / B / T ! S ICI HYDROLOGIC BALANCE .................. Y / NA / N / ®/ V / B / T / S (C] BACKFILL & GRADING .................... Y / NA / N /®! V ! 8 / T / S ICI EXPLOSIVES ........................... Y / Kl / N / R / V / B / T / 5 [CI PROCESSING WASTE .................... Y / N® / N ! R / V / B / T / S [C] SUPPORT FACILITIES .................... Y / ~ / N / R / V / B / T / S IC) TOPSOIL ............................. Y / NA / N /O/ V / B / T / S IC] GENERAL MINE PLAN COMPLIANCE .......... Y / NA / N / F~/ V / B / T / S [CI FISH & WILDLIFE ........................ Y / NA / N /®/ V / B / T / S IC] REVEGETATION ........................ Y / NA / N /O/ V / B / T / S ICI AIR RESOURCE PROTECTION ............... Y /(~/ N / R / V / B / T / S lCl SLIDES & DAMAGE ...................... Y / NA / N / R / V / B / T / S ICI SUBSIDENCE .......................... Y / NA / N / R / V / B ! T / S (Cl EXCESS SPOIL& DEVELOPMENT WASTE ...... Y / NA / N /®/ V / B / T / S [C] OFFSITE SUPPORT FACILITIES .............. Y /QA / N / R / V / B / T / S [C1 RECLAMATION SUCCESS ................. Y / NA / N / ®/ V / B / T / S [Cl SPECIAL CATEGORIES OF MINING ........... O/ NA / N / R / V / B / T / S (z) ----------- - -- - -- - - - (3) - - - - - - - - - - - - - - - - - - - - [Cl OTHERS .............................. Y / NA N / R / V / B / T (1) - - - - - - - - - - - - - - - - - - - - (z) - - - - - - - - - - - - - - - - - - - - (3)