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<br />For The Following Entries, Circle The Approrpiate Choice: <br />r = tnspecLea ana rouna 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) is~ d, <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 AVAILABIL TY 0 CORDS......:.... [ Y / NA /~/ R / V / B / T / S ] <br />[C] SIGNS AND MARKERS ................. [~n / NA / N / R / V / B / T / S ] <br />[C] ROADS ............................. [D / NA / N / R / V / B / T / S ] <br />[C] HYDROLOGIC BALANCE ................ [ Y / NA / N /~/ V / B / T / S ] <br />[C] BACKFILL & GRADING ................ [ YU/ NA / N / R / V / B / T / S ] <br />[C] EXPLOSIVES ........................ [ Y / `N~/ N / R / V / B / T / S ] <br />[C] PROCESSING WASTES ................. [ Y / Nl~ / N / R / V / B / T / S ] <br />[C] SUPPORT FACILITIES ................ [ Y / NA /~y / R / V / B / T / S ] <br />[C] TOPSOIL ........................... [ Y / NA /~/ R / V / B / T / S ] <br />[C] GENERAL MINE PLAN COMPLIANCE...... [vY / NA / N / R / V / B / T / S ] <br />[C] FISH & WILDLIFE ................... [~/ NA / N / R / V / B / T / S ] <br />[C] REVEGETATION ...................... [ Y / NA / N /~/ V / B / T / S ] <br />[C] AIR RESOURCE PROTECTION........... [ Y /LNG / N / R / V / B / T / S ] <br />[C] SLIDES & DAMAGE ................... [© / NA / N / R / V / B / T / S ] <br />[C] SUBSIDENCE ........................ [ Y / (N~~ / N / 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 /~ / V / B / T / S ] <br />[C] SPECIAL CATEGORIES OF MINING...... [ Y /~A / N / R / V / B / T / $ ] <br />(1) [20 <br />- - - - - - - - - - - - - - - - - - - - <br />(2) Spaces <br />(3) -------------------- Max] <br />- - - - - - - - - - - - - - - - - - - - <br />[C] OTHERS ............................ [ Y /(A / N / R / V / B / T ] <br />(1) -------------------- [20 <br />~3~ -------------------- SpaMax] <br />- - - - - - - - - - - - - - - - - - - - <br />NOTE: [C] = Required Entry. <br />~_ <br /> <br />