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For The Following Entries, Circle The Approrpiate Choice: <br /> Y = Inspected an fo~ n-comp lance, <br /> NA = Inspection Topic n ot applicable, <br /> N =Not Inspected, <br /> R =Inspected and Comments noted, <br /> V =Inspected and Viol ations (NOV) or Cessation Order (CO) issued, <br /> 6 =Inspected and both Comments noted & Vi olations o r Cessation <br /> Order issued, <br /> T = 10 Day Notice Issu ed by OSM Oversi ght Personnel, <br /> S =Sample taken and s ent 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 / /~N / R / V / B / T / S ] <br />[C] SIGNS AND MARKERS ................. '~Y / NA / N / R / V / B / T / S ] <br />[C] ROADS ............................. [ Y / NA / N ~ / V / B / T / S ] <br />[C] HYDROLOGIC BALANCE ................ [ Y / NA / N R / V / B / T / S ] <br />[C] BACKFILL & GRADING ................ ~/ NA / N / R / V / B / T / S ] <br />[C] EXPLOSIVES ........................ [ Y / NA /~/ R / V / B / T / S ] <br />[C] PROCESSING WASTES ................. [ Y /® / N / R / V / B / T / S ] <br />[C] SUPPORT FACILITIES ................ [ Y / NA //t / R / V / B / T / S ] <br />[C] TOPSOIL ........................... [ Y / NA / N /~/ V / B / T / S ] <br />[C] GENERAL MINE PLAN COMPLIANCE...... Y / NA / N / R / V / B / T / S ] <br />[C] FISH & WILDLIFE ................... Y / NA / N / R / V / B / T / S ] <br />[C] REVEGETATION ...................... [ Y / NA / N / R / V / B / T / S ] <br />[C] AIR RESOURCE PROTECTION........... [ Y / NA / N~' R / V / B / T / S ] <br />[C] SLIDES & DAMAGE ................... [ Y / NA /~/ R / V / B / T / S ] <br />[C] SUBSIDENCE ........................ [ Y /~/ N / R / V / B / T / S ] <br />[C] EXCESS SPOIL & DEVELOPMENT WASTE.. [ Y /~/ N / R / V / B / T / S ] <br />[C] OFFSITE SUPPORT FACILITIES........ [ Y / ~ / N / R / V / B / T / S ] <br />[C] RECLAMATION SUCCESS ............... [ Y / NA /~/ R / V / B / T / S ] <br />[C] SPECIAL CATEGORIES OF MINING...... [ Y / NA / N / R / V / B / T / S ] <br />~2~ -------------------- [20 <br />------------------- Spaces <br />(3) -------------------- Max] <br />[C] OTHERS ............................ [ Y ~/ N / R / V / B / T ] <br />2~ -------------------- [20 <br />--------- Spaces <br />3) ----------- Max] <br />- - - - - - - - - - - - - - - - - - - - <br />NOTE: [C] = Required Entry. <br />i~ <br />