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For The Following Entries, Circle The Appropriate Choice: <br /> = nspec a an oun in comp lance, <br /> NA = Inspection Topic n ot applica ble, <br /> N =Not Inspected, <br /> R =Inspected and Comments noted , <br /> V =Inspected and Viol ations (NO V) o r Cessation Order (CO) issued, <br /> B =Inspected and both Comments noted & Viol a tions or Cessation <br /> Ur der issued, <br /> T = 10 Day Notice Issu ed by OSM Over s ight Personnel, <br /> S =Sample taken and s ent 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 / R / V / B / T / S ] <br />LCJ SIGNS AND MARKERS ................. I NA I N / ®/ V / B / T / S ] <br />LCJ ROADS ............................. L Y / NA / N / R / V / e / T / S ] <br />LCJ HYDROLOGIC BALANCE ................ L Y / NA / N /~ V / 8 / T / S ] <br />lC] BACKFILL & GRADING ................ L~/ NA / N / R / V / B / T / S ] <br />LC] EXPLOSIVES ........................ L Y / NA / N / R / V / B / T / S ] <br />Lr,J PROCESSING WASTES ................. L Y / A / N / R / V / B / T / S ] <br />LCJ SUPPORT FACILITIES ................ L Y / NA / N / R / V / B / T / S ] <br />LCJ TOPSOIL ........................... L Y! NA / N I R/ V / B / T / S J <br />LC] GENERAL MINE PLAN COMPLIANCF_,,,,,, Y / NA / N / R / V / B / T / S ] <br />LCJ FISH & WILDLIFE ................... L~/ NA / N / R / V / B / T / S ] <br />LCJ REVEGETATION ...................... L Y / NA / N / RO/ V / B / T / S ] <br />LCj AIR RESOURCE PROTECTION........... L Y /~ / N / R/ V 1 B 1 T / S ] <br />LCJ SLIDES & DAMAGE ................... L Y / NA / N / R / V / B / T / S ] <br />LCJ SUBSIDENCE ........................ L Y~/ NA / N / R / V / B / T / S ] <br />LC1 EXCESS SPOIL & DEVELOPMENT WASTE.. L Y / NA / N ! R ! Y 1 B / T / S ] <br />LCJ OFFSITE SUPPORT FACILITIES........ L Y /~ N / R / V / B / T / S ] <br />LCJ RECLAMATION SUCCESS ............... L~r / NA / N / R / V / B / T / S ] <br />LCJ SPECIAL CATEGORIES OF MINING...... L Y / NA / N / R / V / B / T / S ] <br />(1) l20 <br />(2) -------------------- Spaces <br />(3) -------------------- Max] <br />- - - - - - - - - - - - - - - - - - - - <br />LC] OTHERS ............................ L Y /~/ N /~/ V/ B/ T] <br />(1) ~Q h ~ >~ L o r ~--------~ L2o <br />(2) -------~-- Spaces <br />(3) -------------------- MaxJ <br />- - - - - - - - - - - - - - - - - - - - <br />NOTE: LCJ = Required Entry. <br />