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For The Folly„~~~g Entries, Circle The Appropriate fhoice: = nSp~, v do Oun In CO•np tdnre, NA = Inspection Topic not applicable, N Nit Inspected, R Ins~eted and comments note., Y = Inspected and Violations (NOY) or Cessation Order (CO) issues, B = Inspected and bath Comments noted 8 Violations or Cessation Ur der 1SSUed, T = 10 Day Notice Issued by OSM Oversight Personnel, S =Sample taken and sent to the lab from analysis - tlescribe type and location of sample taken under comment section. GENERAL INSPECTION TOPICS: CORDS........... L Y / NA /~ R / V / B / T / S ] LCJ SIGNS AND MARKERS ................. L Y / NA / N /~j / V / B / T / S J LC1 ROADS ............................. L Y / NA / N /!R •/ V / B / T / S J LCJ HYDROLOGIC BALANCE ................ L Y / NA / N /~,/ V / 8 / T / $ LCJ BACKFILL 8 GRADING ................ L Y / NA / N /`R ./ V / B / T / S J LCJ EXPLOSIVES ........................ L Y / NA / N /`R / V / B / T / S j LCJ PROCESSING WASTES ................. L Y / NA / N . / R / Y / B / 7 / S J LCJ SUPPORT FACILITIES ................ L Y / NA / ~/ R / V / 8 / T / S J LCJ TOPSOIL ........................... L Y / NA / N /~/ V / B / T / S J LCJ GENERAL MINE PLAN COMPLIANCE...... l Y / NA / N /~~ / V / B / T / S ] LCJ FISH 8 WILDLIFE ................... L Y / NA / N /~,/ V / B / T / S ] LCJ REVEGE7ATION ...................... l Y / NA /\N ;% R / V / B / T / S ] LCJ AIR RESOURCE PROTECTION........... L Y / NA / (N ,/ R / V / B / T / S 1 LCJ SLIDES 8 DAMAGE ................... L Y / NA / N /; / V / 8 / T / S ] LCJ SUBSIDENCE ........................ L Y / NA N / R/ V / B / T / S LCJ EXCESS SPOIL 8 DEVELOPMENT WASTE.. l Y / NA / N / R / V / B / T / S LCJ OFFSITE SUPPORT FACILITIES........ L Y / NA / N / R / V / B / T / S 7 LC1 RECLAMATION SUCCESS ............... L Y / NA /~/ R / V / B / T / S j LCJ SPECIAL CATEGORIES OF MINING...... ! Y / NA /~ R / Y / 8 / 7 / S ~ - _. ?C L~~~ L 11) fl, L~~) L20 , - (2) - - - - -- - - - Spaces (3) ----------- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - MaxJ LCJ OTHERS ............................ L Y/ NA / N/ R/ V/ B/ T J (1) L20 (2) -------------------- Spaces (3) -------------------- Max] - - - - - - - - - - - - - - - - - - - - NOTE: LCJ = Required Entry.