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,i 1 • • <br />For The Following_Entries, Circle The Approrpiate Choice: <br />r = ~nspectea ana rouna 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) issued, <br />B = Inspected and both Comments noted & Uiolations 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 0 CORDS........... [ Y / NA / N / Q / V / B / T / S ] <br />[CJ SIGNS ANO MARKERS ................. [ Y ! NA / N / / V / B / T / S ] <br />[C] ROADS ............................. [ Y / NA / N / R / V / B / T / S ] <br />[l:] HYDROLOGIC BALANCE ................ [ Y / NA / N / / V / B / T / S ] <br />[L] BACKFILL & GRADING ................ [ Y / NA / N / / V / B / T / S ] <br />[C] EXPLOSIVES ........................ [ Y /~ / N ! R / V / B / T / S } <br />[C] PROCESSING WASTES ................. [ Y /;~ / N / R / V / B / T / S ] <br />[C] SUPPORT FACILITIES ................ [ Y /.~ / N / R / V / 8 / T / S ] <br />[C] TOPSOIL ........................... [ Y / NA / N / ®j V J 8 / T / S ] <br />[C] GENERAL MINE PLAN COMPLIANCE...... [(YJ/ NA / N / R / V / B / T / S ] <br />[C] FISH & WILDLIFE ................... [ rSJ' / NA / N / R / V / B / T / S ] <br />[C] REUEGETATION ...................... [ Y I NA J N / R~/ V / B / T / S ] <br />[C] AIR RESOURCE PROTECTION........... [ Y / ~ / N / R / V / B / T / S ] <br />[C] SLIDES & DAMAGE ................... [ Y / ~)/ N / R / V / B / T / S ] <br />[C] SUBSIDENCE ........................ [l~/ NA / N / R / V / B / T / S ] <br />[C] EXCESS SPOIL & DEVELOPMENT WASTE.. [ Y J l~` ~/ N / R / V ! B j T / S ] <br /> <br />[C] OFFSITE SUPPORT FACILITIES........ [ Y /~ •/ N / R / V / B / T / S ] <br />[C] RECLAMATION SUCCESS ............... [ Y / NA / N / ®% V / B / T / S J <br />[C] SPECIAL CATEGORIES OF MINING...... [ Y J Q~J N / R / V / B / T / S ] <br />(1) -------------------- [20 <br />(2) -------------------- Spaces <br />(3) --------------=----- Max] <br />[C] OTHERS ............................ [ Y / ®P N / R / V / B / T ] <br />- 20 <br />(1) - - - - - - - - - - - - - - - - - - - <br />____________________ Spaces <br />{3) -------------------- Max] <br />NOTE: [C] = Required Entry. <br />