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.~.. r <br /> <br /> • • <br />For The Following Entries, Circle The Approrpiate Choice: <br />Y = inspecLea ana rouna in compliance, <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 />C AVAILABILITY 0 R CORDS........... [ Y / NA / ®/ R / V / B / T / S ] <br />[C] SIGNS AND MARKERS ................. [~ / NA / N / R / V / B / T / S ] <br />~l:] ROADS ............................. [ Y / NA / N /~ / V / B / T / S ] <br />[l;] HYDROLOGIC BALANCE ................ [ Y / NA / N /Qf / V / B / T / S ] <br />[C] BAGKFILL & GRADING ................ [ Y / NA / N /~ J V ! B / T / S ] <br />[C] EXPLOSIVES ........................ [ Y / NA / ® / R / V / B / T / S ] <br />[C] PROCESSING WASTES ................. [ Y / NA / TP / R / V / B / T / S ] <br />[C] SUPPORT FACILITIES ................ [ Y / NA / N /l;,R / V / B / T / S ] <br />[C] TOPSOIL ........................... [ Y / NA / N /~/ V / B / T / S ] <br />[C] GENERAL MINE PLAN COMPLIANCE...... [~ / NA / N / R / V / B / T / S ] <br />[L] FISH & WILDLIFE ................... [~Yj / NA / N / R / V / B / T / S ] <br />[C] REVEGETATION ...................... [ Y / NA / N /CBS / V / B / T / S ] <br />[C] AIR RESOURCE PROTECTION........... [ 1/ NA / N / R / V / E / T / S ] <br />[C] SLIDES & DAMAGE ................... [ Y / NA /(N~ / R / V / B / T / S ] <br />[C] SUBSIDENCE ........................ [ Y /~A~/ N / R / V / B / T / S ] <br />[C] EXCESS SPOIL & DEVELOPMENT WASTE.. [l~ / NA / N / R / V ! B / T / S ] <br /> <br />[C] <br />OFFSITE SUPPORT FACILITIES........ • <br />[ Y <br />/ ,.. <br />~/ N <br />/ R <br />/ <br />V <br />/ <br />B <br />/ <br />T <br />/ <br />S ] <br />[C] RECLAMATION SUCCESS ............... [ Y / NA /CN)/ R / V / B / T / S ] <br />[C] SPECIAL CATEGORIES OF MINING...... [ Y /~ / N / R / V / B / T / S ] <br />(1) -------------------- [20 <br />(2) ____________________ Spaces <br />(3) --------------=----- Max] <br />[C] OTHERS....... [Y/,NJ1/N/R/V/B/T] <br />..................... <br />(1) -------------------- [20 <br />____________________ Spaces <br />(3) -------------------- Max] <br />NOTE: [C] = Required Entry. <br /> <br />.,_ _ ~ , <br />