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<br /> For The Following Entries, Circle The Approrpiate Choice: <br /> Y =Inspected and~oun~ in compl iance, <br /> NA = Inspection Topic of a pplicable, <br /> N =Not Inspected, <br /> R = Inspected and Co en ts noted, <br /> V = Inspected and iolat io ns (NOV) or Cessat ion Order (CO) issued, <br /> 8 =Inspected and both Comments noted & Viol ations or Cessation <br /> Order issued, <br /> T = 10 Day Notice Issued b y OSM Oversight Pe rsonnel, <br /> S =Sample taken and sent to the lab from an alysis - describe <br /> type and location of s ample taken under comment section. <br />GENERAL INSPECTION TOPICS: <br />: <br />C AVAILABILITY OF RECORDS... <br />..... [ 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 ~/ V / B / T / S ] <br /> <br />[C] HYDROLOGIC BALANCE ................ [ Y / NA / N / ~ / V / B / T / S ] <br />[C] BACKFILL & GRADING ...............:..[ Y f NA J N J R / V / B / T / S] <br />[C] EXPLOSIVES ........................ [ Y / NA / N / R / V / B / T / S ] <br />[C] PROCESSING WASTES ................. [ Y / / N / R / V / B / T / S ] <br />[C] SUPPORT FACILITIES ................ [ Y / NA / N / R / V / B / T / S ] <br />[C] TOPSOIL ........................... [ Y / NA /~/ R / V / B / T / S ] <br />[C] GENERAL MINE PLAN COMPLIANCE...... [ Y ~ / N / R / V / B / T / S ] <br />[C] FISH & WILDLIFE ................... [ Y / NA ~/ R / V / B / T / S ] <br />[C] REVEGETATION ...................... [ Y / NA ~/ R / V / B / T / S ] <br />[C] AIR RESOURCE PROTECTION........... [ Y / NA / N~/ R / V / B / T / S ] <br />[C] SLIDES & DAMAGE ................... [ Y / NA / N ~ V / B / T / S ] <br />[C] SUBSIDENCE ........................ [ Y / NA / N / R / V / B / T / S ] <br />[C] EXCESS SPOIL & DEVELOPMENT WASTE.. [ Y / NA / N / R / V / B / T / S ] <br />[C] OFFSITE SUPPORT FACILITIES........ [ Y / NA / N / R / V / B / T / S ] <br />[C] RECLAMATION SUCCESS ............... [ Y / NA ~/ R / V / B / T / S ] <br />[C] SPECIAL CATEGORIES OF MINING...... [ Y / NA / N / R / V / B / T / S ] <br />(2) _ _ Spaces <br />- - - - - - - - - - - - - - - - - - <br />(3) -------------------- Max] <br />[C] OTHERS ............................ [ Y NA / N / R / V / B / T ] <br />2~ -------------------- [Spaces <br />3) -------------------- Max] <br />- - - - - - - - - - - - - - - - - - - - <br />NOTE: [C] = Required Entry. <br /> <br />