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<br /> <br />For The Following Entries, Circle The Approrpiate Choice: <br />Y = lnspecteo ono touna 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 OF RECORDS........... [ Y / NA'~/ N / R / V / B / T / S ] <br />[C] SIGNS AND MARKERS ................. [~ Y `/ NA / N / R / V / B / T / S ] <br />[C] ROADS ............................. [ Y / NA / N / R / V / B / T / S ] <br />[C] HYDROLOGIC BALANCE ................ [ Y / NA / N /. R <br />~ ,/ V / B / T / S ] <br /> <br />[C] <br />BACKFILL & GRADING ................ <br />[ <br />Y <br />/ NA / <br />N <br />/ . <br />R <br />'/ <br />V <br />/ <br />B <br />/ <br />T <br />/ <br />S <br />] <br /> `` <br />~~ <br />[C] EXPLOSIVES ........................ [ Y /"DA / N /~ R_' ~/ V / B / T / 5 ] <br />[C] PROCESSING WASTES ................. [ Y /<;NA_/` N / R / V / B / T / S ] <br />[C] SUPPORT FACILITIES ................ [, Y_ _y NA / N / R / V / B / T / S ] <br />[C] TOPSOIL ........................... [ Y / NA / N %, R / V / B / T / S ] <br />[C] GENERAL MINE PLAN COMPLIANCE...... [ Y / NA / N / R / V / B / T / S ] <br />[C] FISH & WILDLIFE ................... [ Y / NA / N / R / V / B / T / S ] <br />[C] REVEGETATION ...................... [ Y /"NAB/ N / R / V / B / T / S ] <br /> <br />[C] AIR RESOURCE PROTECTION........... [ Y / NA / N / R / V / B / T / S ] <br />[C] SLIDES & DAMAGE ................... [ Y /:NA / N / R / V / B / T / S ] <br />[C] SUBSIDENCE ........................ [ Y /(NAB / N / R / V / B / T / S ] <br />[C] EXCESS SPOIL & DEVELOPMENT WASTE.. [ Y / NA / N / R / V / B / T / S ] <br />[C] OFFSITE SUPPORT FACILITIES........ [ Y /CND/ N / R / V / B / T / S ] <br />[C] RECLAMATION SUCCESS ............... [ Y / NA / N / R / V / B / T / S ] <br />[C] SPECIAL CATEGORIES OF MINING...... [ Y /tMA~/ N / R / V / B / T / S ] <br />1) -------------------- [20 <br />2) Spaces <br />3) -------------------- Max] <br />- - - - - - - - - - - - - - - - - - - - <br />[C] OTHERS ............................ [ Y / NA / N / R / V / B / T ] <br />~z~ ----------'--------- [20 <br />------------------- Spaces <br />(3) -------------------- Max] <br />NOTE: [C] = Required Entry. <br />