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Th- ~- For the Foll~.,i~~g Entries, Circle The ADPropriat~ Choice: = nsp~,, e an oun In comp lance, NA = inspec[ton Topic not applica:~l~, N Nit Inspected, R = Inspected and Comments noted, Y Inspected ano Violations fVDY) or Cessation Ur der (COl issued, B = Inspected and both Comments noted 8 Violations or Cessation Grder issued, T 10 Day Notice Issued by OSM Oversight personnel, S =Sample taken and sent to the lab from analysis - describe type ano location of sample taken under comment section. GENERAL INSPECTION TOPICS: CORDS........... L Y/ NA i NO/ R/ y / g / T / S J LCJ SIGNS AND MARKERS ................. L Y / NA /~/ R / V / B / T / S J LCJ ROADS ............................. L Y/ NA / N /t~ V / 8 / T / S J LCJ HYDROLOGIC BALA.NCE ................ L Y / NA / N /~ V / B / T / S ] lC] BACKFILL 8 GRADING ................ L Y / NA /~/ R / V / B / T / S ] LCJ EXPLOSIVES ........................ L Y / NA / Q' R / V / B / T / S J LCJ PROCESSING WASTES ................. L Y / NA / N /®/ V / g / T / S J lCJ SUPPORT FACILITIES ................ L Y / NA / N /~' Y / B / T / S ] LCJ TOPSOIL ........................... L~ NA /1~j/ R'/ V / B / T / S ) LCJ GENERAL MINE PLAN COMPLIANCE...... LQ/ NA / N / R / V / B / T / S ] LCJ FISH 8 WILDLIFE ................... L Y / NA / N ,Q/ Y / B / T / S LCJ REYEGETATION ...................... lam/ NA / N / 'l / g / T / S ] LCJ AIR RESOURCE PROTECTION........... LGJ/ NA / N / R / V / B / T / S J LCj SLIDES 8 DAMAGE ................... l Y /~/ N/ R/ V / B / T / S ] LCJ SUBSIDENCE ........................ L Y / NA /QN / R / V / B / T / S ] LCJ EXCESS SPOIL 8 DEVELOPMENT NASTE.. L Y / NA /(~ R / V / B / T / S J LCJ OFFSITE SUPPORT FACILITIES........ L Y / IA / N / R / V / B / T / S J LCJ RECLAMATION SUCCESS ............... Ld NA / N / R / Y / B / T / S J LCJ SPECIAL CATEGORIES OF MINING...... L Y / [~ / N / R / Y / B / T / S (1) _ L20 - - - - - - - - - - - - - - - - - - - (21 Spaces (3) -------------------- Max] - - - - - - - - - - - - - - - - - - - - LCJ OTHERS ............................ L Y / NA / N / R / V / B / T ] (1) L20 - - - - - - - - - - - - - - - - - - - - (2) Spaces (3) -------------------- MaxJ - - - - - - - - - - - - - - - - - - - - NOTE: LCJ Required Entry.