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~ .w . -4 .'W . ~ ~ .~.... ~ + m~.F .--~.--mss. ~- <br /> <br />• <br /> <br />• <br />For The Following Entries, Circle The Approrpiate Choice: <br />r = inspectea ana touna 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) issue <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 />;_ AVAILABILI Y 0 R CORDS........... [ Y / NA / ®/ R / V / B / T / S ] <br />[C] SIGNS AND MARKERS ................. [ ©/ NA / N / R / V / B / T / S ] <br />~l.) ROADS ............................. [ Q/ NA / N / R / V / B / T / S ] <br />(t.] HYDROLOGIC BALANCE ................ [ Y / NA / N /® / V / B / T / S ] <br />[~J L'ACKFILL & GRADING ................ [ Q/ NA / N / R / V / B / T / S ] <br />((:] EXPLOSIVES ........................ [ Y / rA / 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 / B / T / S ] <br />(C] TOPSOIL ........................... [ Y / NA / N /Cj / V / B / T / S ] <br /> <br />(C] GENERAL MINE PLAN COMPLIANCE...... ~ / NA / N / R / V / B / T / S ] <br />(CJ FISH & WILDLIFE.. .................. [~1 / NA / N / R / V / 8 / T / S ] <br />[C] REVEGETATION ...................... [ YQ/ NA / N / R / V / B / T / S ] <br />[C] AIR RESOURCE PROTECTION........... (Y / NO / N / R / V / B / T / S ] <br />[C] SLIDES & DAMAGE ................... [ Y / NA / N /~/ V / B / T / S ] <br />[C] SUBSIDENCE ........................ [ Y /~ / N / R / V / B / T / S ] <br />[C] EXCESS SPOIL & DEVELOPMENT WASTE.. [ Y / IA / N / R / V ! B / T / S ] <br />[C] OFFSITE SUPPORT FACILITIES........ [ Y /'}~`~'/ N / R / V / B / T / S ] <br />[C] RECLAMATION SUCCESS ............... [ Y / NA / N /® / V / B / T / S ] <br />[C] SPECIAL CATEGORIES OF MINING...... [ Y /~/ N / R / V / B / T / S ] <br />(1) -------------------- [20 <br />~2) -------------------- Spaces <br />(3) -------------------- Max] <br />[C] OTHERS ............................ [ Y /~/ N / R / V / B / T ] <br />(1) -------------------- (20 <br />(2) -------------------- Spaces <br />(3) -------------------- Max] <br />nq. <br />NOTE: [C] = Required Entry. <br />.M`l~ <br />:~ <br />i +M s y <br />.v ___- ®. ~.. __ <br /> <br />