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_ . ~_.,. <br /> <br /> <br />• For The Following Entries, Circle The Approrpiate Choice: <br />= nspec a an oun in com~iance, <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 = 16 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 AVAILABIL TY 0 ECORDS........... [ Y / NA / N /~/ V / B / T / S ] <br />[C] SIGNS AND MARKERS ................. [~/ NA / N / R / V / B / T / S ] <br />[C] ROADS ............................. ( Y / NA / N / R / V / B / T / S ] <br />[C] HYDROLOGIC BALANCE ................ ~/ NA / N R / V / B / T / S ] <br />[C] BACKFILL & GRADING ................ Y / NA / N / R / V / B / T / S ] <br />[C] EXPLOSIVES ........................ [ Y A/ N/ R/ V/ B/ T/ S J <br />[C] PROCESSING WASTES ................. [ Y NA / N / R / V / B / T / S ] <br />[C] SUPPORT FACILITIES ................ [~ NA / N / ./ V / B / T / S ] <br />[C] TOPSOIL ........................... [ Y / NA / N R ! V / B / T / S ] <br />• [C] GENERAL MINE PLAN COMPLIANCE...... [,Y / NA / N ~~/ V / B / T / S ] <br />[C] FISH & WILDLIFE ................... ~ Y / NA / N / R / V / B / T / S ] <br />[C] REUEGETATION ...................... :~ Y NA / N / / V / B / T / S ] <br />[C] AIR RESOURCE PROTECTION........... [ / N / N / R~/ V / B / T / S ) <br />[C] SLIDES & DAMAGE ................... [ Y N / N / R / V / B / T / S ) <br />[C] SUBSIDENCE ........................ [ Y / N / N / R / V / B / T / S ] <br />[C) EXCESS SPOIL & DEVELOPMENT WASTE.. [ Y / J N / R / U / B / T / S ] <br />[C] OFFSITE SUPPORT FACILITIES........ [~/ NA / N / R / V / B / T / S ] <br />[C] RECLAMATION SUCCESS ............... ~[ Y%/ NA / N / R / V / B / T / S ] <br />[C] SPECIAL CATEGORIES OF MINING...... ~[' / NA / N / R / V / B / T / S ] <br />(l) -------------------- (20 <br />(2) Spaces <br />(3) -------------------- Max] <br />- - - - - - - - - - - - -- - - - - - - - <br />[C] OTHERS ............................ [ Y / NA / N / R / V / B / T ] <br />(1) [20 <br />(2) -------------------- Spaces <br />(3) -------------------- Max] <br />- - - - - - - - - - - - - - - - - - - - <br />t NOTE: [C] = Required Entry. <br />.,. ..~yi v.:awr:zstin us:~~i~6..L:iu:tia+e:il.c~: aYZ:i. rtiu' ~.~ ~~ ~°•e = _ .~•;a:_~~.i~ ••+~.w ~_.... .~..irLC:ar.:1~'i~:L'Vir. :..`~bY-'~ <br />