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._ <br />For The Following Entries, Circle The Approrpiate Choice: <br />Y = Inspected and found 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 OF RECORDS........... [ Y / NA / N / ®/ V / B / T / S ] <br />[C] SIGNS AND MARKERS ................. [ Q/ NA / N / R / V / B / T / S ] <br />[C] ROADS ............................. [ Q / NA / N / R / 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 / N® / N / R / V / B / T / S ] <br />[C] PROCESSING WASTES ................. [ Y / <br />/ N / R / V / B / T / S ] <br />[C] SUPPORT FACILITIES ................ ~ <br />[ 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 & WILDLIFE ................... [ GY / 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 & DAMAGE ................... [ Y / I~ / N / R / V / B / T / S ] <br />[C] SUBSIDENCE ........................ [ Y / ®/ N / R / V / B / T / S ] <br />[C] EXCESS SPOIL & DEVELOPMENT WASTE.. [ Y / ® / N / R / V / B / T / S ] <br />[C] OFFSITE SUPPORT FACILITIES........ [ Y / ~ / N / R / V / B / T / S ] <br />[C] RECLAMATION SUCCESS ............... [ Q/ NA / N / R / V / B / T / S ] <br />[C] SPECIAL CATEGORIES OF MINING...... [ Y /~ / N / R / V / B / T / S ] <br />~2~ -------------------- [20 <br />-------------------- Spaces <br />(3) -------------------- Max] <br />[C] OTHERS ............................ [ Y / N~ / N / R / V / B / T ] <br />20 <br />~Z) - - - - - - - - - - - - - - - - - - - - <br />-------------------- Spaces <br />(3) -------------------- Max] <br />NOTE: [C] = Required Entry. <br />