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w .~. ~ -.~... <br />~ ~ , • <br />For The Following Entries. Circle The Approrpiate Choice: <br />r = lnspectea ana touna in compliance, <br />NA = Inspection Topic not applicable, <br />N =Not Inspected, <br />R =Inspected and Comments 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 0 R CORDS........... [ Y / NA / ®/ R / V / B / T / S ] <br />[C] SIGNS AND MARKERS ................. [ Y / NA / N /®/ V / B / T / S ] <br />(l;] ROADS ............................. [i.Y' / NA / N / R / V / B / T / S ] <br />[L] HYDROLOGIC BALANCE ................ [~ ~ NA / N /~/ V / B / T / S ] <br />[L] BACKFILL & GRADING ................ [~P/ NA / N / R / V / B / T / S ] <br />[C] EXPLOSIVES ........................ [ Y /~/ N / R / V / B / T / S ] <br />[C] PROCESSING WASTES ................. [ Y /cNfr / N / R / V / B / T / S ] <br />[C] SUPPORT FACILITIES ................ [ Y /~A / N / R / V / B / T / S ] <br />[C] TOPSOIL .:......................... [~ / NA / N / R / V / B / T / S ] <br />[C] GENERAL MINE PLAN COMPLIANCE...... [CSC' / NA / N / R / V / B / T / S ] <br />[C] FISH & WILDLIFE ................... [ Y / NA /G~ / R / V / B / T / S ] <br />[C] REVEGETATION ...................... [ Y / NA /~/ R / V / B / T / S ] <br />[C] AIR RESOURCE PROTECTION........... [ Y /(~/ N / R / V / E / T / S ] <br />[C] SLIDES & DAMAGE ................... [ Y / N~/ N / R / V / B / T / S ] <br />[C] SUBSIDENCE ........................ [ Y / NA /®/ R / V / B / T / S ] <br />[C] EXCESS SPOIL & DEVELOPMENT WASTE.. [ Y /t~ / N / R / V ! B / T / S ] <br />[C] OFFSITE SUPPORT FACILITIES........ [ Y /~ / N / R / V / B / T / S ] <br />[C] RECLAMATION SUCCESS ............... [ Y / NA /(~I / R / V / B / T / S ] <br />[C] SPECIAL CATEGORIES OF MINING...... [ Y / CIA)/ N / R / V / B / T / S ] <br />- [20 <br />(1) - - - - - - - - - - - - - - - - - - - <br />(2) -------------------- Spaces <br />(3) -------------------- Max] <br />[C] OTHERS ............................ [ Y /(~ / N / R / V / B / T ] <br />20 <br />(1) - - - - - - - - - - - - - - - - <br />- - - - <br />___________ paces <br />(3) -------------------- Max] <br />NOTE: [C] = Required Entry. <br />