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For The <br />-~ <br />NA <br />N <br />R <br />V <br />B <br />T <br />S <br />Followin Entries Circle The Approrpiate Choice: <br />Tspec a an oun~in co~iance, <br />Inspection Topic not applicable, <br />Not Inspected, <br />Inspected and Comments noted, <br />Inspected and Violations (NOV) or Cessation Order (CO) issue <br />Inspected and both Comments noted & Violations or Cessation <br />Order issued, <br />10 Day Notice Issued by OSM Oversight Personnel, <br />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, AV ARIL TY 0 CORDS........... [ Y / NA /®/ R / V / B / T / S ] <br />[C] SIGNS AND MARKERS ................. [ ® / NA / N / R / V / B / T / S ] <br />fit:] ROADS ............................. LOO / NA / N / R / V / B / T / S ] <br />[L] HYDROLOGIC BALANCE ................ [ Y / NA / N /~R / V / B / T / S ] <br />(~] BACKFiII & GRADING ................ [ Y j NA / ®J R J V / B / T / S ] <br />[(:] EXPLOSIVES ........................ [ Y / NA /~/ R / V / B / T / S ] <br />[C] PROCESSING WASTES ................. [ Y / NA /(1~1 / R / V / B / T / S ] <br />[C] SUPPORT FACILITIES ................ [ Y / NA /~1 / R / V / B / T / S ] <br />(C] TOPSOIL ........................... [®/ NA / N / R / V / B / T / S ] <br />[C] GENERAL MINE PLAN COMPLIANCE...... [ Y / NA / ®/ R / V / B / T / S ] <br />(C] FISH & WILDLIFE ................... [ ©/ NA / N / R / V / B / T / S ] <br />[C] REVEGETATION ...................... [(Y~/ NA / N / R / V / B / T / S ] <br />[C] AIR RESOURCE PR07ECTION........... [ O / NA / N / R / V / B / 7 / S ] <br />[C] SLIDES & DAMAGE ................... [ Y / NA / ©/ R / V / B / 7 / S ] <br />[C] SUBSIDENCE ........................ [ Y / NA /~V / R / V / B / T / S ] <br />[C] EXCESS SPOIL 6 DEVELOPMENT WASTE.. [ Y / NA J ©/ R / V ! B / T / S ] <br />[C] OFFSITE SUPPOR7 FACILITIES........ [ Y / Q / 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 /O / R / V / B / T / S ] <br />(l~ -------------------- [20 <br />(2] -------------------- Spaces <br />(3] -------------------- Max] <br />[C] OTHERS ............................ [ Y /[~/ N / R / V / B / T ] <br />2 <br />(1~ - --------------- O <br />- - - - <br />---------- Spaces <br />(2] ---------- Max] <br />(3) - - - - - - - - - - - - - - - - - - - - <br />NOTE: [C] = Required Entry. <br />2~ 7 <br />