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For The Foll~~,ing Entries, Circle The ADPropriate Choice: = nspec e an oun in Comp lance, NA = Inspection Topic not app7ica:~le, N Nit Inspected, R =Inspected and comments noted, Y Inspected and Violations (NOV) or Cessation Order (CO1 issues, B = Inspected and both Comments noteo 8 Violations or Cessation Order issued, T = 10 Day Notice Issued by OSM Oversight Personne'd, S =Sample taken and sent to the lab from analysis - describe type and location of sample taken under comment section. GENERAL INSPECTION TOPICS: CORDS.........,. L Y / NA / ®/ R / V / B / 'i / S ] LCJ SIGNS AND MARKERS ................. L Y / NA / N / Q/ Y / B / T / S J LCJ ROADS ............................. L Y / NA / N / ®/ V / B / 'i / S J LCJ HYDROLOGIC BALANCE ................ L Y / NA / N / ®/ V / B / 'i / S J LCJ BACK FILL & GRADING ................ L Y / ®/ N / R / Y / B / 'i / S ] LCJ EXPLOSIVES ........................ L Y / NA / ®/ R / V / B / 'i / S J LCJ PROCESSING WASTES ................. L Y / NA / N / ®/ y / g / 'i / S J LCJ SUPPORT FACILITIES ................ L Y / NA / N / ®/ V / B / T / S ] LCJ TOPSOIL ........................... L Y / NA / N / ®/ V / B / i / S J LCJ GENERAL MINE PLAN COMPLIANCE...... L ©/ NA / N / R / V / B / T / S ] LCJ FISH & WILDLIFE ................... L Y / NA / ®/ R / V / B / T / S ] LCJ REVEGETATION ...................... L Y / NA /rte/ R / V / B / T / S ] LCJ AIR RESOURCE PROTECTION........... L ©/ NA / N / R / V / B / T / S LCJ SLIDES & DAMAGE ................... L Y / ®/ N / R / V / 8 / T / S ] LCJ SUBSIDENCE ........................ L Y / NA / fJ / ® / V / 8 / T / 5 J LCJ EXCESS SPOIL 8 DEVELOPMENT WASTE.. L Y / ®A / N / R / Y / B / T / S ] LCJ OFFSITE SUPPORT FACILITIES........ L Y / NA / N /~ / V / B / T / S ] LCJ RECLAMATION SUCCESS ............... L Y / NA / 4~/ R / V / B / T / S ] LCJ SPECIAL CATEGORIES OF MINING...... L Y /~ / N / R / V / B / T / 5 J (2) -------------------- L25Daces (3) --------------------~ Max] LCJ OTHERS ............................ L Y / NA / N /®/ V / B / T ] (2) .e~~~-.~.G~o 51----------- LSpaces (3) --------------------- MaxJ NOTE: LCJ = Required Entry.