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For the Foll~.,itg Entries, Circle The Appropriate ChO1CN: <br />= n5P°•- e an OUn to CO•np 1dnCP, <br />NA = Inspection Topic not applica~l~~, <br />N Nit Inspected, <br />R =Inspected and comments noted, <br />Y = Inspected and Violations (NOVI ur Cessation Order (CO) issues, <br />B = Inspected and bath Comments noted 8 Violations or Cessation <br />Order issued, <br />T = 10 Day Notice Issued by OSM Oversight personnel, <br />5 =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 /~/ N/ R/ V/ B/ T/ S] <br />LCJ SIGNS AND MARKERS ................. L Y / ~/ N / R / V / B / T / S J <br />LCJ ROADS ............................. L Y / NA / N / ®/ V / B / T / S ) <br />LCJ HYDROLOGIC BALANCE ................ L Y / NA / N / ~/ V / B / T / S ] <br />LCj BACKFILL 8 GRADING ................ L (~/ NA / N / R / V / B / T / S ] <br />LCJ E%PLOSIVES ........................ L Y/ ~/ N/ R/ V/ B/ T/ S J <br />lt:J PROCESSING NASTES ................. L Y / ~A / N / R / V / B / T / S J <br />lCJ SUPPORT FACILITIES ................ L Y / N~A / N / R / V / B / T / S ] <br />LCJ TOPSOIL ........................... L O/ NA / N / R / Y / B / T / S J <br />lC] GENERAL MINE PLAN COMPLIANCE...,,, L Y / ~/ N / R / V / B / T / S ] <br />lCJ F1SH d NILDLIFE ................... L Y / NA /(R7/ R / V / B / T / S ] <br />LCJ REYEGETATION ...................... l Y / NA / N /®/ V / B / T / S ] <br />lCJ A1R RESOURCE PROTECTION........... L Y / CH~A / N / R / Y / B / T / S ] <br />lC] SLIOES 6 DAMAGE ................... L Y / ®/ N / R / V / B / T / S ] <br />LCJ SUBSIDENCE ........................ L Y / ®/ N / R / V / B / T / S J <br />lCJ EXCESS SPOIL b DEVELOPMENT NASTE.. L Y /(q~/ N / R / V / B / T / S J <br />lC] OFFSITE SUPPORT FACILIIIES........ L Y /~/ N / R / V / B / T / 5 ] <br />LCJ RECLAMATION SUCCESS ............... Lam/ NA / N / R / V / B / T / S ] <br />LCJ SPECIAL CATEGORIES OF MINING...... L Y / I~A / N / R / Y / B / 7 / 5 ] <br />I1) L20 <br />(2) --------------------- Spaces <br />(3) -------------------- MaxJ <br />-------------------- <br />LC1 OTHERS ............................ L Y / HA / N /®/ V / B / T ] <br />(2j .POLY ~-8~.~11J3~--------- L20 <br />____________________ Spaces <br />l3) -------------------- MaxJ <br />N07E: lCJ Required Entry. <br />