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For The Foll,,,i-ig Entries, Circle The AoPropriate Choice: ~n5p@.: e do dun In Comp lance, NA = lnspect~on Topic not applicable, N = Nit Inspected, R = Inspected and comments noted, Y =Inspected and Violations (NOY) or Cessation Order (C01 issues, 8 = Inspected and both Comments noted 8 Violations or Cessation Ortler issued, T = 10 Uay Notice Issued by OSM Oversight Personnel, S = 5a~nple taken and sent to the lab from analysis - describe type and location of sample taken under comment section. GENERAL INSPECTION TOPICS: CORDS........... L Y/ NA / N /~/ V / g / T / S LCJ SIGNS AND MARKERS ................. L~/ NA / N / R / Y / B / T / S J LCJ ROADS ............................. L Y / NA / N /~/ V / B / T / S LCJ HYDROLOGIC BALANCE ................ L Y / NA / N /~ / V / B / T / S LCJ BACKFILL 8 GRADING ................ Lam/ NA / N / R / V / B / T / S J LCJ EXPIOSIYES ........................ L~/ NA / N / R / V / B / T / S J L~:J PROCESSING WASTES ................. L Y / NA / N /®/ V / g / T / S J LCJ SUPPORT FACILITIES ................ L Y NA / N /®/ Y / g / T / S LCJ TOPSOIL ........................... L NA / N /~/ V / B / T / $ J LCJ GENERAL MINE PLAN COMPLIANCE...... Y / NA / N / R / V / B / T / S lCJ FISH 8 WILDLIFE ................... L Y/ NA / N /®/ V / B / T / S J lCJ REVEGETATION ...................... LQ/ NA / N / R / V / B / T / S LC1 AIR RESOURCE PROTECTION........... L Y / NA / N /®/ V / B / T / S LCJ SLIDES 8 DAMAGE ................... L Y / NA / N ,~/ V /~/ T / S LCJ SUBS IDENCE ........................ L ©/ NA / N / R / V / B / T / S J LCJ EXCESS SPOIL 8 DEVELOPMENT WASTE.. L ©/ NA / N / R / Y / B / T / S ] LCJ OFFSITE SUPPOR7 FACILI7IES........ L~/ NA / N %~/ V / B / T / 5 J LCJ RECLAMATION SUCCESS ............... LQ/ NA / N / R / V / B / T / 5 J LCJ SPECIAL CATEGORIES OF MINING...... L Y /~ N / R / V / 8 / T / S J (1) L20 - - - - - - - - - - - - - - - - - - - (2) - Spaces (3) -------------------- MaxJ - - - - - - - - - - - - - - - - - - - - LCJ OTHERS ............................ L Y / NA / N / ®/ V / 8 / i J (3) -------------------- MaxJ - - - - - - - - - - - - - - - - - - - - MOTE: LCJ Required Entry.