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<br /> <br />For The Following Entries, Circle The Approrpiate Choice: <br />Y = Inspectea and found in compliance, <br />NA = Inspection Topic not applicable, <br />IJ =Not 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 & 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 and location of sample taken under comment section. <br />GENERAL INSPECTION TOPICS: <br />C AVAILABILITY OF RECORDS........... [ Y / NA /© / R / V / B / T / S ] <br />[C] SIGNS AND MARKERS ................. [ Y / NA /©/ R / V / B / T / S ] <br />[C] ROADS ............................. [OY / NA / N / R / V / B / T / S ] <br />[C] HYDROLOGIC BALANCE ................ [ Y / NA / N / PQ/ V / 6 / T / S ] <br />[C] BACKFILL & GRADING ................ [ Y /® / N / R / V / B / T / S ] <br />[C] EXPLOSIVES ........................ [ Y / NA /~/ R / V / B / T / S ] <br />[C] PROCESSING WASTES ................. [ Y /~ / N / R / V / B / T / S ] <br />[C] SUPPORT FACILITIES ................ [~ / NA / N / R / V / B / T / S ] <br />[C] TOPSOIL ........................... [(~ / NA / N / R / V / B / T / S ] <br />[C] GENERAL MINE PLAN COMPLIANCE...... [~ / NA / N / R / V / B / T / S ) <br />[C] FISH & WILDLIFE ................... [ Y / NA / N / R / V / B / T / S ] <br />[C] REVEGETATION ...................... [ Y /(~ / N / R / V / B / T / S ] <br />[C] AIR RESOURCE PROTECTION........... [ Y / IJA ,~/ R / V / E / T / S ] <br />[C] SLIDES & DAMAGE ................... [ Y /Q / N / P. / V / B / T / S ] <br />[C] SJESIDECJCE ........................ f Y / N:, /~/ R / / B / T / S i <br />[C] EXCESS SPOIL & DEVELOPMENT WASTE.. [ Y / I~V~A~/ N / R / V / B / T / S ] <br />[C] OFFSITE SUPPORT FACILITIES........ [ Y /~ / N / R / V i B / _ / S ] <br />[C] RECLAh1ATI0N SUCCESS ............... [ Y /~ / N / R ! '.' / E / T ! S ] <br />[C] SPECIAL CATEGORIES OF MINIfJG...... [ 1' /~)/ N / R / V / c / T / S ) <br />(1) -------------------- f20 <br />(Z) -------------------- Spaces <br />(3) -------------------- 11ax] <br />[C] OTHERS ........... ................. [ Y / NA / N ~/ V / B / T ] <br />- - - - Spaces <br />-------------------- I.1ax] <br />(3) -------------- <br />NOTE: [C) = Required Entry. <br />