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<br />4 <br />111~~j((( For~7he Followin~,g Entries, Cir~.ie The_,Approrpiate Choice: <br />- nspecte ah~'~'a~n3'i4f"~`omp is ce, <br />NA = InspecEion 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 />,; 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 AVA LABILITY OF R CORDS........... [ Y / NA / ~/ R / V / B / T / S ] <br />,. [C] SIGNS AND MARKERS ................. [ Y / NA / N /~ / V / B / T / S ] <br />[C] ROADS ............................. [OY / NA / N / R / V / B / T / S ] <br />a [C] HYDROLOGIC BALANCE ................ [ Y / NA / N /® / V / B / T / S ] <br />[C] BACKFILL & GRADING ................ [ Y / NA / i~ / R j V / B / T J S ] <br />[C] EXPLOSIVES ........................ [ Y / NA /~/ R / V / B / T / S ] <br />[C] PROCESSING WASTES ................. [ Y / NA / N / R / V / B / T / S ] <br />[C] SUPPORT FACILITIES ................ [ Y / NA /© / R / V / B / T / S ] <br />[C] TOPSOIL ........................... [ Y / NA / ©/ R / V / B / T / S ] <br />[C] GENERAL MINE PLAN COMPLIANCE...... [® / NA / N / R / V / B / T / S ] <br />[C] FISH & WILDLIFE ................... [ Y / NA / N /~ / V / B / T / S ] <br />[C] REVEGETATION ...................... [ Y / NA / N /~ / U / B / T / S ] <br />[C] AIR RESOURCE PROTECTION........... [ Y / NA /~/ R / V / B / T / S ] <br />[C] SLIDES & DAMAGE ................... [ Y / NA /~/ R / V / B / T / S ] <br />[C] SUBSIDENCE ........................ [ Y / NA /~/ R / V / B / T / S ] <br />[C] EXCESS SPOIL & DEVELOPMENT WASTE.. [ Y /~ / N / R / V / B / T / S ] <br />[C] OFFSITE SUPPORT FACILITIES........ [ Y / N~ / N / R / V / B / T / S ] <br />[C] RECLAMATION SUCCESS ............... [ Y / NA /©/ R / V / B / T / S ] <br />[C] SPECIAL CATEGORIES OF MQNING...... [ Y / NA / N / R / V / B / T / S ] <br />(1) -------------------- [20 <br />(2) ____________________ Spaces <br />(3) -------------------- Max] <br />[C] OTHERS ............................ [ Y / NA / N / R / V / B / T ] <br />1) -------------------- [20 <br />2 S aces <br />3) -------------------- p Max] <br />- - - - - - - - - - - - - - - - - - - - <br />NOTE: [C] = Required Entry. <br /> <br /> <br />{ <br />