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For The Following Entries, Circle The Appropriate Choice: <br />= nspec a an oun in comp lance, <br />NA = Inspection Topic not applicable, <br />N =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 />Ur der 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 cortment section. <br />GENERAL INSPECTION TOPICS: <br /> CORDS........... NA / N / R / V / B / T / S ] <br />LCJ SIGNS AND MARKERS ................. L / NA / N /~/ Y / B / T / S ] <br />LCJ ROADS ............................. L Y / NA / N / R / <br />~ V / B / T / S ] <br />LCJ HYDROLOGIC BALANCE ................ L Y / NA / N / <br />/ Y / B / T / S ] <br /> <br />LCJ BACKFILL & GRADING ................ L Y / NA / N / R / V / B / T / S ] <br />LCJ EXPLOSIVES ........................ l~/ NA / N / R / V / B / T / S J <br />Lr,] PROCESSING WASTES ................. L Y NA / N / R / V / B / T / S ] <br />LCJ SUPPORT FACILITIES ................ Y NA / N / R / V / B / T / S ] <br />LCJ TOPSOIL ........................... L Y/ NA / N / R/ V / B / T / S J <br />LCJ GENERAL MINE PLAN COMPLIANCF_,,,,,, L Y / NA / N ~/ V / B / T / S ] <br />LCJ FISH & WILDLIFE ................... ~/ NA / N / R / V / 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 />LCJ SLIDES & DAMAGE ................... L Y / NA N / R / V / B / T / S ] <br />LCJ SUBSIDENCE ........................ L~ / NA / N / R / V / B / T / S J <br />LC] EXCESS SPOIL & DEVELOPMENT WASTE.. I~ / NA / N / R / V / B / T / S ] <br />LCJ OFFSITE SUPPORT FACILITIES........ L Y /~ N / R / Y / B / T / S ] <br />LCJ RECLAMATION SUCCESS ............... L~/ NA / N / R / V / B / T / 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 />LC7 OTHERS ............................ L Y / NA / N /~/ Y / B / T ] <br />(2) ~O/~ -LPL}~t~L~1~--------- L20 <br />Spaces <br />(3) -------------------- Max] <br />- - - - - - - - - - - - - - - - - - - - <br />NOTE: LCJ = Required Entry. <br />