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<br />For The Following Entries, Circle The Approrpiate Choice: <br />Y = Inspected and found in compliance, <br />NA = Inspection Topic not applicable, <br />IJ =Not Inspected, <br />R =Inspected and Comments noted, <br />V = Inspected and Violations (NON) 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 AVAILABILITY OF RECORDS........... [ Y / NA / N / R / V / B / T / S ] <br />[C] SIGNS AND MARKERS ................. [ m / NA / N / R / V / B / T / S ] <br />[C] ROADS ............................. [CY•' / NA / N / R / V / B / T / S ] <br />[C] HYDROLOGIC BALANCE ................ [ Y / NA / N / (~ / V / B / T / S ] <br />[C] BACKFILL & GRADING ................ [ Y / fVA / N / R / V / B / T / S ] <br />[C] EXPLOSIVES ........................ [ Y / (A / N / R / V / B / T / S ] <br />[C] PROCESSING WASTES ................. [ Y / m~ / N / R / V / B / T / S ] <br />[C] SUPPORT FACILITIES ................ [ ~Y>/ NA / N / R / V / B / T / S ] <br />[C] TOPSOIL ........................... [ CY•' / NA / N / R / V / B / T / S ] <br />[C] GENERP,L MINE PLAN COMPLIANCE...... [CP?/ NA / N / R / V / B / T / S ] <br />[C] FISH 8~ WILDLIFE ................... [ (Y~/ NA / N / R / V / B / T / S ] <br />[C] RENEGE.TATION ...................... [ Y / CND / N / R / V / B / T / S ] <br />[C] AIR RESOURCE PROTECTION........... [ Y / 4~ / N / R / V / B / T / S ] <br />[C] SLIDES & DAMAGE ................... [ Y / ~A / N / R / V / B / T / S ] <br />[C] SU°Si[IENCE ........................ [ CYO/ NA / N / R / V / B / T / S ] <br />[C] EXCESS SPOIL & DEVELOPMENT WASTE.. [ Y / I~A~ / N / R / V / B / T / S ] <br />[C] OFFSII'E SUPPORT FACILITIES........ [ Y / ~A / N / R / V / B / T / S ] <br />[C] RECLAMATION SUCCESS ............... [ Y / N~R / N / R / V / B / T / S ] <br /> <br />[C] SFECINL CATEGORIES OF MINING...... [ Y / ~ / N / R / V / B / T / S ] <br />(1) -------------------- [20 <br />------------ Spaces <br />(2) -------- Max] <br />(3) - - - - - - - - - - - - - - - - - - - - <br />[C] OTHERS ............................ [ Y / NA / N / R / V / B / T ] <br />[20 <br />(1) - - - - - - - - - - - - - - - - - <br />---- ________ Spaces <br />(3) --------------------- Max] <br />NOTE: [C] =Required Entry. <br /> <br />