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For The Following Entries, Circle The Appropriate Choice: r = lnspectea ana rouna in compliance, NA = Inspection Topic not applicable, N =Not Inspected, R =Inspected and Comments noted, V Inspecteo and Violations (NOV) or Cessation Order (CO) issued, B =Inspected and both Comments noted & Violations or Cessation Order issued, T = 10 Day Notice Issued by OSM Oversight Personnel, S =Sample taken and sent to the lab from analysis - describe type ana location of sample taken under comment section. GENERAL INSPECTION TOPICS: CORDS........... L Y / NA / N /~l / V / B / T / S LCJ SIGNS AND MARKERS ................. L~ / NA / N / R / V / B / T / S J LCJ ROADS ............................. LAY / NA / N / R / V / B / T / S J LCJ HYDROLOGIC BALANCE ................ L Y / NA / N /~~/ V / B / T / S J LCJ BACKFILL & GRADING ................ L'CY> / NA / N / R / V / B / T / S J LCJ EXPLOSIVES ........................ L Y/ JA / N / R / V / B / T / S J Lr,J PROCESSING WASTES ................. L Y / ~ / N / R / Y / B / T / S LCJ SUPPORT FACILITIES ................ LCx / NA / N / R / V / B / T / S LCJ TOPSOIL ........................... L~1 / NA / N / R ! V ! B / T 1 S J LCJ GENERAL MINE PLAN COMPLIANCE...... L~'/ NA / N / R / V / B / T / S LCJ FISH & WILDLIFE ................... L~i/ NA / N / R / V / B / T / S J LCJ REYEGETATION ...................... L Y / NA / N /~~ / V / B / T / 5 LCJ AIR RESOURCE PROTECTION........... L Y / I!]1/ N / R / V / B / T / S J LCJ SLIDES & DAMAGE ................... L Y /r~ / N / R / V / 6 / T / S ] LCJ SUBSIDENCE ........................ L YO / NA / N / R I V / B / T / S LCJ EXCESS SPOIL & DEVELOPMENT WASTE.. L ©/ NA / N / R / V / B / T / S LCJ OFFSITE SUPPORT FACILITIES........ L Y / IA / N / R / V / B / T / S ] LCJ RECLAMATION SUCCESS ............... L~'/ NA / N / R / V / B / T / S LCJ SPECIAL CATEGORIES OF MINING...... I Y / ~A / N / R / V / B / T / S (2) -------------------- LzSPACeS (3) -------------------- Max] - - - - - - - - - - - - - - - - - - - - LCJ OTHERS ............................ L Y! NA ! N 1 R! V f 6/ T J (2) -------------------- LSPaces (3) -------------------- Ma x1 - - - - - - - - - - - - - - - - - - - - NOTE: LCJ = Required Entry.