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<br />For The Following Entries, Circle The ADPropriate Choice: <br />T = lns paC Led and TOUnd In CO~npl 7dnCe, <br />NA = Inspection Topic not applicable, <br />N Not Inspected, <br />R Inspected and Comments noted, <br />Y =Inspected and Violations (NOV) dr 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 lab from analysis - describe <br />type and location of sample taken under coRment section, <br />GENERAL INSPECTION TOPICS: <br /> CORDS........... L Y / NA /~/ R / V / B / T / S ] <br />LCJ SIGNS AND MARKERS ................. L Y / NA / N /®/ V / B / T / S ] <br />lCJ ROADS ............................. L Y / NA / N /~/ V / B / T / S <br />LCJ HYDROLOGIC BALANCE ................ L Y / NA / N /~ V / B / T / S ] <br />LCJ BACKFILL & GRADING ................ L Y / NA / C~/ R / V / B / T / 5 ] <br />LC] EXPLOSIVES ........................ L Y / NA / y~/ R / V / B / T / S j <br />LC1 PROCESSING WASTES ................. L Y / NA / N /~/ V / B / T / S ] <br />LCJ SUPPORT FACILITIES ................ L Y / NA / N / (Q7/ V / B / T / S ] <br />LC] TOPSOIL ........................... L YO/ NA / N / R / V / B / T / S ] <br />LCJ GENERAL MINE PLAN COMPLIANCF_,,,,,, L~/ NA / N / R / V / B / T / S J <br />LCJ FISH 8 WILDLIFE ................... L Y / NA /~/ R / V / B / T / S ] <br />LCJ REVEGETATION ...................... L Y / NA / N ~/ V / B / T / S ] <br />LCJ AIR RESOURCE PROTECTION........... L Y / NA / N /~/ V / B / T / S ] <br />LCJ SLIDES 8 DAMAGE ................... L Y / NA / N / R / V / B / T / S ] <br />LCJ SUBSIDENCE ........................ L Y / NA / ~/ R / Y / B / T / S J <br />LCJ EXCESS SPOIL 8 DEVELOPMENT WASTE., l Y / NA / N / R / Y / 8 / T / S ] <br />LCJ OFFSITE SUPPORT FACILITIES........ L Y / NA / N / R / V / B / T / S ] <br />LCJ RECLAMATION SUCCESS ............... L Y / NA /~/ R / V / B / T / S ] <br />LCJ SPECIAL CATEGORIES OF MINING...... L Y / NA / N / R / V / B / T / S ] <br />(1) L20 <br />(2) -------------------- Spaces <br />(3) -------------------- MaxJ <br />- - - - - - - - - - - - - - - - - - - - <br />LCJ OTHERS ............................ L Y /~ N/ R/ V/ B/ T] <br />(1) L20 <br />(2) - - - - - - - - - - - - - - - - - - - = <br />____________________ Spaces <br />(3) -------------------- MaxJ <br />NOTE: LCJ Required Entry. <br />