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For The Following Entries, Circle The A ror fate Choice: <br />Y = nspecte an, foun in comp lance, <br />NA = Inspection Topic not applicable, <br />N =Not Inspected, <br />R =Inspected and Comments noted, <br />V = Inspected and Violations (WOV) or Cessation Order (CO) issued, <br />6 =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........... [ Y / NA / ©/ R / V / B / T / S ] <br />[C] SIGNS AND PIARKERS ................. [ Y / NA / N / ®/ V / B / T / S ] <br />[C] ROADS ............................. [ Y / NA / N /®/ V / B / T / S ] <br />[C] HYDROLOGIC BALANCE ................ [ Y / NA / N /~/ V / B / T / S ] <br />[C] BACKFILL & GRADING ................ [ Y / NA / N / ®/ V / B / T / S ] <br />[C] EXPLOSIVES ........................ ( Y / NA / ®/ R / V / B / T / S ] <br />[C] PROCESSING WASTES ................. [ Y / NA / N /(;~/ V / B / T / S ] <br />[C] SUPPORT FACILITIES ................ [ Q/ NA / N / R / V / B / T / S ] <br />[C) TOPSOIL ........................... [ Y / NA / N /®/ V / B / T / S ] <br />[C] GENERAL MINE PLAN COMPLIANCE...... [ Q/ NA / N / R / V / B / T / S ] <br />[C] FISH & WILDLIFE ................... [QY / NA / W / R / V / B / T / S ] <br />[C] REVEGETATION ...................... [ Y / NA / N / ®/ V / B / T / S ] <br />[C] AIR RESOURCE PROTECTION........... [m / NA / N / R / V / B / T / S ] <br />[C] SLIDES & DAMAGE ................... [ m/ NA / N / R / V / B / T / S ] <br />[C] SU3SiDENCE ........................ [ ©/ NA / N / R / l' / 6 / T / S ] <br />[C] EXCESS SPOIL & DEVELOPMENT WASTE.. [ Y / NA / N /®/ V / B / T / S ] <br />[C] OFFSITE SUPPORT FACILITIES........ [ Y / NA / M1 /~/ V / B / T / S ] <br />[C] RECLAMATION SUCCESS ............... [ Y / NA / ©/ R / V / E / T / S ] <br />[C] SPECIAL CATEGORIES OF MINING...... [ Y / ~/ N / R / V / B / T / S ] <br />(1) [20 <br />(z) --------------------- Spaces <br />(3) --------------------- Max] <br />[C] OTHERS ............................ [ Y / !~/ N / R / V / B / 1" ] <br />(1) [20 <br />(2) --------------------- Spaces <br />(3) --------------------- Max] <br />NOTE: [C] = Required Entry. <br />