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5 <br />For The Foll~.,i~t9 Entries, Circle The Appropriate Choice: <br />= nspoc e do oun to co-nD Lance, <br />NA = Inspection Topic not applicable, <br />N = Nit Inspected, <br />R =Inspected and Comments noted, <br />Y Inspected and Violations (~OV) or Cessation Order (CO) issued, <br />B = Inspected and both Comments noted 8 Violations or Cessation <br />Order issued, <br />7 = 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 /> CORDS........... L Y / NA / N /~ / V / B / T / S ] <br />LCJ SIGNS AND MARKERS ................. 1 Y / NA / N / ®/ V / g / T / S <br />LC1 ROADS ............................. L Y / NA / N /®/ V / B / T / S ] <br />LCJ HYDROLOGIC BALANCE ................ L Y / NA / N /®/ V / 8 / T / S ] <br />ICJ BACKFILL 8 GRADING ................ L Y / NA / N /®/ V / B / T / S ] <br />LCJ EXPLOSIVES ........................ L Y / l~A / N / R/ V / B / T / S j <br />LCJ PROCESSING WASTES ................. L Y /® / N / R / V / B / T / $ j <br />LCJ SUPPORT FACILITIES ................ L© / NA / N / R / V / B / T / S ] <br />LC1 TOPSOIL ........................... L QY / NA / N / R / V / B / 7 / S ] <br />LCJ GENERAL MINE PLAN COMPLIANCE,,,,,, L© / NA / N / R / Y / B / T / S ] <br />LCJ FISH & WILDLIFE ................... LCr~ / NA / N / R / Y / B / T / S <br />LCJ REVEGETATION ...................... L Y / NA / N / ®/ V / B / T / S ] <br />LCJ AIR RESOURCE PROTECTION........... L Y / NA / N /~ / V / B / T / S ] <br />ICJ SLIDES b DAMAGE ................... L© / NA / N / R / V / B / T / S ] <br />LCJ SUBSIDENCE ........................ L Y / 1~ / N / R / V / B / T / S ] <br />LCJ EXCESS SPOIL b DEVELOPMENT WASTE.. L Y / NA / N /®/ Y / B / T / S ] <br />LCJ OFFSITE SUPPORT FACILITIES........ l Y / ~/ N / R / V / B / T / S ] <br />LCJ RECLAMATION SUCCESS ............... L m / NA / N / R / V / B / 7 / S ] <br />LCJ SPECIAL CATEGORIES OF MINING...... L Y / ~/ N / R / V / B / T / S ] <br />(1) L20 <br />(2) -'------------------- Spaces <br />(3) -------------------- Max] <br />- - - - - - - - - - - - - - - - - - - - <br />LCJ OTHERS .............\............... L Y / NA / N /~/ V / B / T ] <br />(1) ~c/~~ ~wY - ------------ L20 <br />(2) - - Spaces <br />(3) -------------------- Max] <br />- - - - - - - - - - - - - - - - - - - - <br />NOTE: LCJ ~ Required Entry. <br />