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For The Following Entries, Circle The Approrpiate Choice: <br />~ = ns~c a an 'oun in compriance, <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 / ®/ R / V / B / T / S ] <br />[C] SIGNS AND MARKERS ................. [ Y / NA / N / (~ V / B / T / S ] <br />[C] ROADS ............................. [ Y / NA / N /CBS/ V / B / T / S ] <br />[C] HYDROLOGIC BALANCE ................ [ Y / NA / N /~ B / T / S ] <br />[C] BACKFILL & GRADING ................ [ Y / NA OO <br />/~/~, B / T / S ] <br />[C] EXPLOSIUES ........................ [ Y / NA / N /(~/ V / B / T / S ] <br />[C] PROCESSING WASTES ................. [ Y / ~/ N / R / V / B / T / S ] <br />[C] SUPPORT FACILITIES ................ [ Y / NA / N /~/ 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 />[C] FISH & WILDLIFE ................... [ Y / NA / N /~/ V / B / T / S ] <br />[C] REUEGETATION ...................... [ Y / NA / N / ~/ V / B / T / S ] <br />[C] AIR RESOURCE PROTECTION........... [ ®/ NA / N / R / V / B / T / S ] <br />[C] SLIDES & DAMAGE ................... [ Gc~/ NA / N / R / V / B / T / S ] <br />[C] SUBSIDENCE ........................ [ Y / ®/ N / R / V / B / T / S ] <br />[C} EXCESS SPOIL & DEVELOPMENT WASTE.. [ Y / NA / ®/ R / V / B / T / S ] <br />[C] OFF SITE SUPPORT FACILITIES........ [ Y / ~/ N / R / V / B / T / S ] <br />[C] RECLAMATION SUCCESS ............... [ Y / NA / N /~/ V J B / T / S ] <br />[C] SPECIAL CATEGORIES OF MINING...... [ Y / N~/ N / R / V / B / T / S ] <br />(1) [20 <br />- - - - - - - - - - - - - - - - - - - - <br />(z) -------------------- Spaces <br />(3) -------------------- Max] <br />[C] OTHERS ............................ [ Y / NA / N /~/ V / B / T ] <br />(2) ~''O N,Q-~E~ ~ ~_--------- [Spaces <br />(3) -------------------- Max] <br />- - - - - - - - - - - - - - - - - - - - <br />NOTE: [C] = Required Entry. <br />I" q-21.9 <br />