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_.~ <br />For The Following Entries, Circle The Appropriate Choice: <br />= nspec a an oun in comp lance, <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 8 Violations or Cessation <br />Order issued, <br />T 10 Day Notice Issued by OSM Oversight Personnel, <br />S =Sample taken and sent to the tab from analysis - describe <br />type and location of sample taken under comment section. <br />GENERAL INSPECTION TOPICS: <br />CORDS........... L Y / NA /QN / R / Y / B / T / S <br />LCJ SIGNS AND MARKERS ................. L Y / NA / N /®/ Y / B / T / S J <br />LCJ ROADS ............................. Ley / NA / N / R / V / B / T / S J <br />LCJ HYDROLOGIC BALANCE,,,,,,,,,,,,,,,, L Y / NA / N /~R / Y / B / T / S <br />LCJ BACKFILL & GRADING ................ LO / NA / N / R / Y / B / T / S J <br />LCJ EXPLOSIVES ........................ L Y /~ / N/ R/ Y/ B/ T/ S J <br />LCJ PROCESSING WASTES ................. L Y / G~ / N / R / V / B / T / S J <br />LCJ SUPPORT FACILITIES ................ L Y / NA / N /® / Y / B / T / S ] <br />LCJ TOPSOIL ........................... LQY / NA / N / R / V / B / T / S J <br />LC] GENERAL MINE PLAN COMPLIANCE...... L Y / NA / ®/ R / V / B / T / S J <br />LCJ FISH & WILDLIFE ................... L Y / NA / ®/ R / V / B / T / S J <br />LCJ REVEGETATION ...................... L Y / NA / ®/ R / V / B / T / S <br />LCj AIR RESOURCE PROTECTION........... L G / NA / N / R / V / B / T / S J <br />LCj SLIDES & DAMAGE ................... L Y /~ / N / R / V / B / T / S J <br />LCj SUBSIDENCE ........................ L Y /® / N/ R / V / B / T / S J <br />LCJ EXCESS SPOIL & DEVELOPMENT WASTE.. L Y / NA / tJ / R / V / B / 7 / S <br />LCj OFFSITE SUPPORT FACILITIES........ Lam/ NA / N / R / V / B / T / S J <br />LCJ RECLAMATION SUCCESS ............... L Y / NA /Cy} / R / V / B / T / S <br />LCj SPECIAL CATEGORIES OF MINING...... L Y /® / N / R / V / B / T / S J <br />(1) L20 <br />(2) -------------------- Spaces <br />(3) -------------------- Max] <br />- - - - - - - - - - - - - - - - - - - - <br />LCJ OTHERS ............................ L Y / N~{ / N / R / V / B / T <br />(1) _ _ _ _ _ L20 <br />- - - - - - - - - - - - - - <br />(2) Spaces <br />(3) -------------------- MaxJ <br />-------------------- <br />NOTE: LCJ =Required Entry. <br />/9~ <br />2- 27-yZ~ <br />