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For The Following Entries, Circle The Appropriate Choice: <br />= nspec a an oun in comp lance, <br />NA _ Inspection Topic not applicable, <br />N = Nit 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 8 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 ana location of sample taken under comment section, <br />GENERAL INSPECTION TOPICS: <br />CORDS........... L Y/ NA /~ R/ V/ B/ T/ S 7 <br />LCJ SIGNS AND MARKERS ................. LQ/ NA / N / R / V / B / T / S ] <br />LCJ ROADS ............................. L Y / NA / N /~ V / B / T / S J <br />LCJ HYDROLOGIC BALANCE ................ L Y / NA / N /®/ V / 8 / T / S ] <br />LCJ BACK FILL & GRADING ................ L Y / NA / N / R / V / B / 7 / S J <br />LCJ EXPLOSIVES ........................ L Y / N/ R/ V / 8 / T / S I <br />LCJ PROCESSING WASTES ................. L Y / NA / N / R / V / B / T / S J <br />LCJ SUPPORT FACILITIES ................ L Y /®/ N / R / V / B / T / S ] <br />LC] TOPSOIL ........................... L Y/ NA / N /r^ Y / B / 7 / S J <br />LCJ GENERAL MINE PLAN COMPLIANCE...... l Yom/ NA / N / R / V / B / T / S ] <br />LCJ FISH 8 WILDLIFE ................... L Y / NA /d R / V / B / T / 5 ] <br />LCJ REVEGETATION ...................... L Y / NA / N / R / V / B / T / S ] <br />LCJ AIR RESOURCE PROTECTION........... L Y / NA ~/ R / V / B / T / S ] <br />LCJ SLIDES & DAMAGE ................... L Y / NA ~/ R / V / B / T / S ] <br />LCJ SUBSIDENCE ........................ L Y / NA /CN}/ R / V / B / T / S ] <br />LCJ EXCESS SPOIL & DEYELOPMENT WASTE.. L Y / NA / N / R / V / B / T / S J <br />LCJ OFFSITE SUPPORT FACILITIES........ L Y / ® / N / R / Y / B / 7 / S <br />LCJ RECLAMATION SUCCESS ............... L Y / NCB / N / R / V / R / T / S ] <br />LCJ SPECIAL CATEGORIES OF MINING...... L Y / ~/ N / R / V / B / T / S ] <br />(1) L20 <br />(2) -------------------- Spaces <br />(3) -------------------- MaxJ <br />- - - - - - - - - - - - - - - - - - - - <br />LCJ OTHERS ............................ L Y ~/ N/ R/ V/ B/ T J <br />(1 ) <br />(21 - - - - - - - - - - - - - - - - - - - <br />- - - - - - - - - - - - - - - - - - - - <br />(3) <br />- - - - - - - - - - - - - - - - - - - - <br />NOTE: LCJ Required Entry. <br />L20 <br />Spaces <br />Max] <br />9~/b/9Z-. <br />