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<br />For The Following Entries, Circle The Approrpiate Choice: <br />Y = Inspected and found in compliance, <br />NA = Inspection Topic not applicable, <br />N =Not Inspected, <br />R =Inspected and Comrt~ents 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........... [ ©/ NA / N / R / V / B / T / S ] <br />[C] SIGNS AND MARKERS ................. [~/ NA / N / R / V / B / T / S ] <br />[C] ROADS ............................. [ NA / N / R / V / B / T / S ] <br />[C] HYDROLOGIC BALANCE ................ ~ <br />[ Y NA / N / R / V / B / T / S ] <br />[C) BACKFILL & GRADING ................ [ Y / NA / N / RO/ V / B / T / S ] <br />[C] EXPLOSIVES .................... .. .. [ Y / NA / N / R / V / B / T / S ] <br />[C] PROCESSING WASTES ................. [ Y / NA N / R / V / B / T / S ] <br />[C] SUPPORT FACILITIES ................ [ 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 / NA / N / R V / B / T / S ] <br />[C] AIR RESOURCE PROTECTION........... [ YQ/ NA / N / R / V / B / T / S ] <br />[C] SLIDES & DAMAGE ................... [(~Y / 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 / N /~R / V / B / T / S ] <br />[C] OFFSITE SUPPORT FACILITIES........ [ Y / NA / N / R / V / B / T / S ] <br />[C] RECLAMATION SUCCESS ............... [~' NA / N / R / V / B / T / S ] <br />[C] SPECIAL CATEGORIES OF MINING...... [ Y / ~ N / R / V / B / T / S ] <br />~2~ -------------------- [20 <br />- - Spaces <br />3 - - - - - - - - - - - <br />------- Max) <br />[C] OTHERS ............................ [ Y / NA / N / R / V / B / T ] <br />20 <br />~2) - - - - - - - - - - - - - - - - - - - - <br />-------------------- Spaces <br />(3) -------------------- Max] <br />NOTE: [C] = Required Entry. <br />