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<br />For The Following Entries, Circle The Approrpiate Choice: <br />r = inspecLea ana touna in compliance, <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) issue <br />B = Inspected and both Comments noted b 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_ AV LA IL Y CORDS........... [ Y / NA / N / ~)/ V / B / T / S ] <br />[C] SIGNS AND MARKERS ................. [ Y / NA / N /~/ V / B / T / S ] <br />~l.] ROADS ............................. [ Y / NA / N /!~~~/ V / B / T / S ] <br />[L] HYDROLOGIC BALANCE ................ [ Y / NA / N /jam/ V / B / T / S ] <br />[l,] BACKFILL b GRADING ................ [ Y / NA / N / ~/ V / B / T / S ] <br />[(:] EXPLOSIVES ........................ [ Y / / N / R / V / B / T / S ] <br />[C] PROCESSING WASTES ................. [ Y / ~/ N / R / V / B / T / S ] <br />[C] SUPPORT FACILITIES ................ [ Y / u/ N / R / V / B / T / S ] <br />[C] TOPSOIL ........................... [ Y / NA / N /~/ V / B / T / S ] <br />[C] GENERAL MINE PLAN COMPLIANCE...... [ Y / NA / N /~/ V / 6 / T / S ] <br />[cJ FISH b WILDLIFE ................... ( ~/ NA / N / R / V / B / T / S ] <br />[C] REVEGETATION ...................... [ Y / NA / N /~/ V / B / T / S ] <br />[C] AIR RESOURCE PROTECTION........... [;VY~I NA / N / R <br />/ V / B / T / S ] <br />[C] SLIDES b DAMAGE ................... [ Y / NA / N \ <br />/~gJ/ V / B / T / S ] <br />C <br />[ ] <br />.............. <br />SUBSIDENCE.......... <br />[Y <br />/NA/ <br />N ~~~ <br />/~/V <br />/ <br />B <br />/ <br />T <br />/ <br />S] <br />[C] EXCESS SPOIL b DEVELOPMENT WASTE.. [ Y jiH9~j N j R j V ! B / T J S] <br />[C] OFFSITE SUPPORT FACILITIES........ [ Y / U / N / R / V / B / T / S ] <br />[C] RECLAMATION SUCCESS ............... [ Y / NA / N /~/ V / B / T / S ] <br />[C] SPECIAL CATEGORIES OF MINING...... [ Y / ~Aiy N / R / V / B / T / S ] <br />(1) -------------------- [20 <br />(2) -------------------- Spaces <br />(3) -------------------- Max] <br />[C] OTHERS ............................ [ Y / N(~ / N / R / V / B / T ] <br />(1) -------------------- [20 <br />____________________ Spaces <br />(3) -------------------- Max] <br />N07E: [C] = Required Entry. <br />