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., ~,,.. <br />For The Foll~.,i~ig Entries, Circle The Appropriate Choice <br />nsp~.-.tad and founr7 ~n conp i can e <br /> NA = Inspection Topic not applica:~le , <br /> N Nit Inspected, <br /> R =Inspected and Cot~ants n ote d, <br /> Y =Inspected and Vidg ations (,vOV ) or Cessa ti on O rder ( C01 issues, <br /> B = Inspected and both Comments n ot ed & V io la ti on s or C essation <br /> Order issued, <br /> T 10 Day Notice Issu ed by OSM O ve rs ight P er sonn el , <br /> S =Sample taken and s ent to the lab from a nalysi s - describe <br /> type and location of sample tak en under comme nt section, <br />GENERAL INSPECTION TOPICS: <br /> CORDS.....:::... L Y/ NA i N R/ V / B / T / S ] <br />LCJ SIGNS AND MARKERS ................. L Y / NA / N / R V / B / T / S ] <br />LCJ ROADS ..........................:y: L Y / NA / N R / V / B / T / S ] <br />LCJ HYDROLOGIC BALANCE ................ L Y / NA / N / V / B / T / $ ] <br />LCJ BACKFILL 8 GRADING ................ L Y / NA / N / R / V / B / T / S <br />LC] EXPLOSIVES ........................ L Y/ NA / N / R/ V / 8 / T / 5 J <br />LCJ PROCESSING HAS TES ................. Y <br />/ <br />L NA / N / R / V / B / T / S J <br />LCJ SUPPORT FACILITIES ................ ~ <br />om <br />{jf~,Y_,Q/ <br />//"" <br />7~r NA / N / Y / B / T / S ] <br />LCJ TOPSOIL ........................... Y <br />/ <br />L NA / N / ~R1/ V / B / T / S J <br />LCJ GENERAL MINE PLAN COMPLIANCE,,,,,, / NA / N / ~R / V / B / T / 5 J <br />lCJ FISH b HILDLIFE ................... Y / NA / N / R / Y / B / T / S ] <br />LCJ REVEGETATION ...................... L Y / NA / N / R / V / B / T / S ] <br />LCJ AIR RESOURCE PROTECTION........... Y / NA / N / R / V / B / T / S ] <br />LCJ SLIDES 6 DAMAGE ................... L Y ! NA ! N / R / V ! B / T / 5 ] <br />LCJ SUBSIDENCE ........................ L Y NA / N / R / V / B / T / S ] <br />LCJ EXCESS SPOIL 8 DEVELOPMENT HASTE.. L Y A N / R/ V / B / T / S ] <br />LCJ OFFSITE SUPPORT FACILITIES........ L Y / A N ! R / V / B / T / 5 ] <br />LCJ RECLAMATION 5000ESS ............... L Y / NA N / R / V / B / T / S ] <br />LCJ SPECIAL CATEGORIES OF MINING...... L Y NA N / R / V / B / T / S ] <br />(1 ) L20 <br />(2) -------------------- Spaces <br />(3) -------------------- Max] <br />LCJ OTHERS ............................ L Y NA N/ R/ V/ B /.T 7 <br />I1) l20 <br />(2) -------------------- Spaces <br />(31 -------------------- Max] <br />NOTE: LCJ Required Entry, <br />.ffi,:,~d <br />