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<br />For The Following Entries, Circle The Approrpiate Choice: <br />`~ = Inspecte an foun inn com~iance, <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 OF RECORDS........... [ Y / NA / ~/ R / V / B / T / S ] <br />[C] SIGNS AND MARKERS ................. [ Y / NA /~/ R / V / B / T / S ] <br />[C] ROADS ............................. [ Y / NA / N /® <br />/ V / B / T / S ] <br />[C] HYDROLOGIC BALANCE ................ [ Y / NA .1 <br />/ N /VV/ V / B / T / S ] <br />[C] BACKFILL & GRADING ................ [ Y / NCU / N / R / V / B / T / S ] <br />[C] EXPLOSIVES ........................ [ Y / NA / N /~/ V / B / T / S ] <br />[C] PROCESSING WASTES ................. [ Y / NA / ©/ R / V / B / T / S ] <br />[C] SUPPORT FACILITIES ................ [ Y / NA /GIG / R / V / B / T / S ] <br />[C] TOPSOIL ........................... [ Y / NA /©/ R / V / B / T / S ] <br />[C] GENERAL MINE PLAN COMPLIANCE...... ,..y <br />~ <br />~t~ / NA / N / R / V / B / T / S ] <br />[C] FISH & WILDLIFE ................... [ Y / NA /CN7/ R / V / B / T / S ] <br />[C] REVEGETATION ...................... [ Y / NA / Cd]/ R / V / B / T / S ] <br />[C] AIR RESOURCE PROTECTION........... [ Y / NA / NZ~ / R / V / B / T / S ] <br />[C] SLIDES & DAMAGE ................... [ Y / N~4' / N / R / V / B / T / S ] <br />[C] SUBSIDENCE ........................ [ Y / NA /~ / R / V / B / T / S ] <br />[C] EXCESS SPOIL & DEVELOPMENT WASTE.. [ Y / NA /~ / R / V / B / T / S ] <br />[C] OFFSITE SUPPORT FACILITIES........ [ Y / NA /®/ R / V / B / T / S ] <br />[C] RECLAMATION SUCCESS ............... [ Y / NA / N~/ R / V / B / T / S ] <br />[C] SPECIAL CATEGORIES OF MINING...... [ Y / N~ / N / R / V / B / T / S ] <br />(1) -------------------- [20 <br />(2) -------------------- Spaces <br />Max] <br />(3) <br />- - - - - - - - - - - - - - - - - - - - <br />[C] OTHERS ........... .. ............... [ Y / NA / N / R / V / B / T ] <br />[20 <br />(1) - - - - - - - - - - - - - - - - - - - - <br />________ Spaces <br />(3) -------------------- Max] <br />NOTE: [C] = Required Entry. <br />... ., <br />