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z <br />For The Following Entries, Circle The Appropriate Choice: ~ <br />= nspec a an oun in comp lance, <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 />CORDS........... L Y/ NA / N/ R/ V/ B/ T/ S J <br />LC] SIGNS AND MARKERS ................. L Y / NA / N / / V / B / T / S ] <br />LCJ ROADS ............................. L Y / NA / N / / V / B / T / S J <br />LCJ HYDROLOGIC BALANCE ................ L Y / NA / N / / V / B / T / S J <br />LCJ BACKFILL & GRADING ................ L~/ NA / N / R / V / B / T / S ] <br />LCJ EXPLOSIVES ........................ L Y/ NA / N / V/ B/ T/ S J <br />LCJ PROCESSING WASTES ................. L Y / NA / N / / V / B / T / S J <br />LCJ SUPPORT FACILITIES ................ L Y NA / N/ R/ V/ B/ T/ S J <br />LCJ TOPSOIL ........................... L Y / NA / N / R / V / B / T / S ] <br />LC] GENERAL MINE PLAN COMPLIANCE...... L~/ NA / N / R / Y / B / T / S ] <br />LCJ FISH & WILDLIFE ................... L ~/ NA / N / R / V / B / T / S <br /> <br />LCJ REVEGETATION ...................... L Y / NA / N / R / V / 6 / T / S ] <br />LCJ AIR RESOURCE PROTECTION........... L~/ NA / N / R / V / B / T / S ] <br /> <br />LCJ SLIOES & DAMAGE ................... Y / <br />L NA / N / R / V / B / T / S ] <br />LCJ SUBSIDENCE ........................ / <br />Lli// NA / N / R / V / B / T / S J <br />LC] EXCESS SPOIL & DEVELOPMENT WASTE.. L Y / NA / N / R / V / B / T / S ] <br />LC1 OFFSITE SUPPORT FACILITIES........ L Y / N / N / R / V / B / T / S ] <br />LCJ RECLAMATION SUCCESS ............... L Y / N / N / R / V / B / 7 / S ] <br />LCJ SPECIAL CATEGORIES OF MINING...... L Y / NA / N / R / V / B / T / S ] <br />(1) L20 <br />(2) -------------------- Spaces <br />(3) -------------------- Max] <br />- - - - - - - - - - - - - - - - - - - - <br />1CJ OTHERS ............................ L Y / NA / N / R / V / B / T ] <br />(1) L20 <br />- - - - - - - - - - - - - - - - - - - - <br />(2) Spaces <br />l3) -------------------- Max] <br />- - - - - - - - - - - - - - - - - - - - <br />NOTE: LCJ = Required Entry. ~~ <br />+, ~y-0~~ <br />..t,.~,. .. _ _ _. ~~..__. <br />