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<br />For The Foll~.~ing Entries, Circle The Appropriate Choice: <br />= nspec a an oun in comp lance, <br />NA = Inspection Topic not applicable, <br />N Nit Inspected, <br />R =Inspected and Comments noted, <br />Y = Inspected and Violations (NOV) dr Cessation Ortler (CO) issued, <br />8 ~ Inspected and both Comments noted 8 Violations or Cessation <br />Ur der 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 / NA / ~ R / V / B / T / S ] <br />LCJ SIGNS AND MARKERS ................. L Y / NA / N ~/ V / B / T / S ] <br />LCJ ROADS ............................. L Y / NA ~/ R / V / B / T / S ] <br />LCJ HYDROLOGIC BALANCE ................ L Y / NA / N ~/ V / B / T / $ ] <br />LCJ BACKFILL 8 GRADING ................ L Y / NA ~ R / V / B / T / S J <br />LC] EXPLOSIVES ........................ L Y / NA N/ R / V / B / T / S j <br />L~:J PROCESSING WASTES ................. L Y / NA / N /®/ V / B / T / S J <br />LCJ SUPPORT FACILITIES ................ L Y / NA / N /®/ V / B / T / S ] <br />L~] TOPSOIL ........................... L Y / NA / N R / V / B / T / S ] <br />LCJ GENERAL MINE PLAN COMPLIANCF_.,,,,, L Y / NA / N / R / V / B / T / S J <br />LCJ FISH 8 WILDLIFE ................... 1 Y / NA / N / R / V / B / T / S ] <br />LCJ REVEGETATION ...................... L Y / NA N / R / V / B / T / S ] <br />LCJ AIR RESOURCE PROTECTION........... L Y / NA / N~/ R / V / B / T / S ] <br />LCJ SLIDES & DAMAGE ................... L Y / NA / N / R / V / B / T / S ] <br />LCJ SUBSIDENCE ........................ L Y / NA / N/ R / V / B / T / S J <br />LCJ EXCESS SPOIL 8 DEVELOPMEN7 WASTE.. L Y / NA /~/ R / V / B / T / S ] <br />LCJ OFFSITE SUPPORT FACILITIES........ L Y / NA / <br />/ R / V / B / T / S ] <br />LCJ RECLAMATION SUCCESS ............... L Y / NA / ~ <br />N / R / V / B / T / S ] <br /> <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 />(2) -------------------= Spaces <br />(3) -------------------- Max] <br />- - - - - - - - - - - - - - - - - - - - <br />NOTE: LCJ = Required Entry. <br />