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For The Following Entries, Circle The Appropriate Choice: <br />= nspec a ari oun in Comp lance, <br />NA _ Inspection Topic not applicable, <br />N = Nit Inspected, <br />R =Inspected and Comments noted, <br />V =Inspected and Violations (NOV) ur Cessation Order (CO) issues, <br />B =Inspected antl both Comments noted 8 Violations or Cessation <br />Grder 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 co mnent section. <br />GENERAL INSPECTION TOPICS: <br /> CORDS........... L Y / NA /~ / R / V / B / T / S ] <br />LCJ SIGNS AND MARKERS ................. lQ/ NA / N / R / V / B / T / S ] <br />LCJ ROADS ............................. L Y / NA / N /t~/ V / B / T / S ] <br />LCJ HYDROLOGIC BALANCE ................ L Y / NA / N ~/ V / B / T / S ] <br />LCJ BACKFILL 8 GRADING ................ L Y / ® / N / R / V / B / T / S ] <br />LCJ EXPLOSIVES ........................ L Y / NA /~/ R / V / B / T / S J <br />LCJ PROCESSING WASTES ................. Y / NA / N / R / V / B / T / S J <br />LCJ SUPPORT FACILITIES ................ L / NA / N / R / V / B / T / S ] <br />LCJ TOPSOIL ........................... L~/ NA / N / R / V / B / T / S ] <br />LCJ GENERAL MINE PLAN COMPLIANCE...... L Y / NA / N /~ / V / B / T / S 1 <br />LC1 FISH 8 WILDLIFE ................... L Y / NA /~/ R / V / B / T / S ] <br />LCJ REVEGETATION ...................... L Y / NA ~/ R / V / B / T / S ] <br /> <br />LCJ AIR RESOURCE PROTECTION........... ~ / NA / N / R / V / B / T / S ] <br />LC] SLIDES 8 DAMAGE ................... L Y / NA /(~ / R / V / B / T / S ] <br /> <br />LCJ SUBSIDENCE ........................ L Y / NA ,(~ / R / V / B / T / S ] <br />LCJ EXCESS SPOIL 8 DEVELOPMENT WASTE.. L Y / NA /~/ R / V / B / T / S ] <br />LCJ OFFSITE SUPPORT FACILITIES........ L Y / to / N / R / V / B / T / S ] <br />LCJ RECLAMATION SUCCESS ............... L Y / ~ / N / R / V / B / T / S ] <br />LCJ SPECIAL CATEGORIES OF MINING...... L Y / NA / N / R / V / B / T / S ] <br />(1) L20 <br />(2) -------------------- Spaces <br />(3) -------------------- MaxJ <br />- - - - - - - - - - - - - - - - - - - - <br />LCJ OTHERS ............................ L Y/ NA / N /~}/ V/ B/ T J <br />_ _ _ Lzo <br />(1 ) P n.~ ~e.~cz~1- <br />(z) --------- <br />Spaces <br />(3) -------------------- MaxJ <br />- - - - - - - - - - - - - - - - - - - - <br />NOTE: LCJ Required Entry. <br />