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\ , <br />6 <br />For The Followin Entries Circle Ttie A ror iate.Choice: <br />Y = Inspecte an oun in comp lance, <br />NA = Inspection Topic not applicable, <br />N =Not Inspected, <br />R = Inspected and Comments noted, <br />V = Inspected and Violations (NOVJ or Cessation Order (CO) issued, <br />B = Inspected and both Comments noted b 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 ................. [~/ NA / N / R / V / B / T / S ] <br />[C] ROADS ............................. [(~/ NA / N / R / V / B / T / S ] <br />[C] HYDROLOGIC BALANCE ................ [ Y / NA / N f~`}' V / B / T / S ] <br />[C] BACKFILL b GRADING ................ ~/ NA / N / R / V / B / T / S ] <br />[C] EXPLOSIVES ........................ [ Y / ® / N / R / V / B / T / S ] <br />[C] PROCESSING WASTES ................. [ Y /® / N / R / V / B / T / S ] <br />[C] SUPPORT FACILITIES ................ [ Y /~ / N / R / V / B / T / S ] <br />[C] TOPSOIL ........................... [© / NA / N / R / V / B / T / S ] <br />[C] GENERAL MINE PLAN COMPLIANCE...... ~ NA / N / R / V / B / T / S ] <br />[C] FISH b WILDLIFE ................... [Q/ NA / N / R / V / B / T / S ] <br />[C] REVEGETATION ...................... [ Y / NA / N ~/ V / B / T / S ] <br />[C] AIR RESOURCE PROTECTION........... [~/ NA / N / R / V / B / T / S ] <br />[C] SLIDES b DAMAGE ................... [ Y /(®/ N / R / V / B / T / S ] <br />[C] SUBSIDENCE ........................ ( Y /~/ N / R / V / B / T / S ] <br />[C] EXCESS SPOIL b DEVELOPMENT WASTE.. [ Y /~ N / R / V / B / T / S ] <br />[C] OFFSITE SUPPORT FACILITIES........ ( Y /~ N / R / V / 8 / T / S ] <br />[C] RECLAMATION SUCCESS ............... ®/ NA / N / R / V / B / T / S ] <br />[C] SPECIAL CATEGORIES OF MINING...... [ Y /~ N / R / V / B / T / S ] <br />(1) -------------------- [20 <br />(2) _ - - - Spaces <br />- - - - - - - - - - - - - - - - <br />(3) -------------------- Max] <br />[C] OTHERS ........... ................. [ Y NA N / R / V / B / T ] <br />- [20 <br />(1) ------------------- <br />- - - - Spaces <br />(2) -------------------- Max] <br />(3) ---------------- <br />NOTE: [C] = Required Entry. <br />