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For The Foll~.,i~ig Entries, Circle The Appropriate Choice: <br />~ n5p9: e an Oun to Comp lance, <br />i NA = Inspection Topic not applicab le , <br /> N = Nit Insp?cted, <br /> R =Inspected and Comments noted, <br /> Y =Inspected and Violations (N0Y ) ur Cessati on Ortler ( CO) issues <br /> <br />8 = Inspected and both <br />Comments n <br />oted 8 Viola <br />tion <br />s <br />or <br />C , <br />essation <br /> Ortler issued, <br /> T 10 Day Notice Issued by OSM O versight Per sonn el <br /> <br />S =Sample taken and sent to the <br />lab from analysi <br />s , <br />- <br />describe <br /> type antl location of sample taken under comment s ec tion, <br />GENERAL INSPECTION TOPICS: <br /> CORDS........... L Y/ NA / N /~/ V / g / T / S <br />LCJ SIGNS AND MARKERS ................. l Y / NA / N /®/ V / B / T / $ J <br />LCJ ROADS ............................. L Y/ NA / N /®/ V / B / T / S J <br />LCJ HYDROLOGIC BALANCE ................ L Y / NA / N / RQ/ V / B / T / 5 j <br />LCJ BACKFILL 8 GRADING ................ L Y/ NA / N /®/ V / B / T / S J <br />lC] EXPLOSIVES ........................ l Q/ NA / N / R / V / B / T / S J <br />LCJ PROCESSING NASTES ................. L Y / ®/ N / R / V / B / T / S <br />LCJ SUPPORT FACILITIES ................ LQf~/ NA / N / R / V / B / T / S J <br />LCJ TOPSOIL ........................... L Y/ NA / N /~/ V / B / T / S J <br />LCJ GENERAL MINE PLAN COMPLIANCE,,,,,, L ~' NA / N / R / V / B / T / S <br />lCJ FISH 8 MILDLIFE ................... L ®/ NA / N / R / V / B / T / S J <br />LCJ REVEGETATION ...................... L QY / NA / N / R / V / B / T / S <br />LCJ AIR RESOURCE PROTECTION........... L©/ NA / N / R / V / B / T / S J <br />LCJ SLIDES 8 DAMAGE ................... l©/ NA / N / R / V / B / T / S <br />LCJ SUBSIDENCE ........................ L Y/ ~/ N / R/ V / B / T / S J <br />LCJ EXCESS SPOIL 8 DEVELOPMENT WASTE.. l~ NA / N / R / V / B / T / S ] <br />LCJ OFFSITE SUPPORT FACILITIES........ L Y / ®/ N / R / V / B / T / S 1 <br />LCJ RECLAMATION SUCCESS ............... Lr'~/ NA / N / R / V / B / T / S <br />LCJ SPECIAL CATEGORIES OF MINING...... L~ NA / N / R / V / B / T / S 7 <br /> ~!L~L>7L <br />~u~~~ ~' L Z <br /> - <br />(2) -- - --- - - Spaces <br /> (3) ----------- <br />----------- --- <br />--- - <br />- --- <br />--- - <br />- - <br />- Max] <br />LCJ OTHERS ............................ L Y/ NA / N/ R/ V/ B / T J <br />_ L2 <br />(1) _____ <br />(2) -------------------- Spaces <br />-------------- -- Max) <br />(3) - - - - - - - - - - - - - <br />NOTE: LCJ Required Entry. <br />/0 ~Z~-93 <br />