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• <br />For The fo}lowin Entries, Circle Th.e Approrpiate Choice:. '~~ <br />~-=-Inspect`ea an~'~ouniTTin compFiance, <br />NA = Inspection Topic not applicable; <br />N =Not Inspected, ~"° <br />R =Inspected and Comments noted,~~s <br />V = Inspected and Violations (NOV) or Cessation Order (CO) issued, <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. i <br />. , _., <br />GENERAL INSPECTION TOPICS: <br />;: .- ;:' <br />;:, r.:., C AVAILABILITY OF RECORDS........... [ Y / NA / N / / V / B / T / S ] <br />.. [C] SIGNS AND MARKERS ................. [~ / NA / N / R / V / B / T / S ] <br />[C] ROADS ..........................:.. L ®/ NA / N / R / V / B / T / S ] __ <br />-= , <br />[C] HYDROLOGIC. BALANCE ................ [ Y / NA / N /~/ V / 8 / T / S ] `,?. <br />[C] BACKFILL & GRADING ................ [ Y / ~ / N / R / V / B / T / S ] ~~ <br />[G] EXPLOSIVES ........................ [ Y / ~/ N / R / V / B / T / S ] <br />[C] PROCESSING WASTES ................. [ Y / ~F / N / R / V / B / T / S ] •^ <br />~.. <br />:. <br />~: [C] SUPPORT FACILITIES ................ [ Y / NA / N /®/ V / B / T / S ] <br />[C] TOPSOIL ........................... [ ll''~/ NA / N / R / V / B / T /.S ] <br />~, [C] GENERAL MINE PLAN COMPLIANCE...... [t~j/ NA / N / R / V / B / T / S ] ''~?f <br />,. <br />' [C] FISH & WILDLIFE ................... [ ©/ NA / N / R / V / B / T / S ] ' <br />;, <br />. -. <br />[C} REVEGETATION ...................... [ Y / ~ / N / R / V / B / T / S ] - <br />[C] AIR RESOURCE PROTECTION........... [ ©/ NA / N / R / V / B / T / S ] <br />.- <br />[C] SLIDES & DAMAGE ................... [ Y /(f~ / N / R / V / B / T / S ] '" <br />[C] SUBSIDENCE ........................ [ Y / l~/ N / R / V / B / T / S ] `~. <br />,:i€ <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 / ~ / N / R / 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 />`P <br />[C] OTHERS ...... ..................... [ Y / J~A / N / R / V / B / T ] .', <br />1 <br />(2) --------------- - Spaces <br />(3) ------------------- Max] .;.~ <br />- - - - - - <br />NOTE: [C] = Required Entry. <br />~ '~ <br />