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- 4 <br />For The Folly„i ,g Entries, Circle The Appropriate Choice: <br />= ns p9 .; e do Oun In CO~np lance, <br />NA = Inspection Topic not applica~le, <br />N = Not Inspected, <br />R :Inspected and Comments notes, <br />Y =Inspected and Violations fNOV) or Cessation Order (CO1 issues, <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 - tlescribe <br />type and location of sample taken under comment section, <br />GENERAL INSPECTION TOPICS: <br /> CORDS........... L Y / NA / N /r~ / V / ®/ T / S ] <br />LCJ SIGNS AND MARKERS ................. L Y / NA / N /® / V / B / T / S ] <br />LCJ ROADS ............................. L Y / NA / N / ®/ V /®/ T / 5 ] <br />LCJ HYDROLOGIC BALANCE ................ L Y / NA / N /Qtj / V /($~ / T / 5 ] <br />LCJ BACKFILL 8 GRADING ................ L Y / NA / N / ®/ V /(~ / 7 / S ] <br />LCJ EXPLOSIVES ........................ L Y / NA / N / ®/ V / B / T / S J <br />Lr;1 PROCESSING NASTES ................. L Y / NA / N /~ / V /©/ T / S ] <br />LCJ SUPPORT FACILITIES ................ L Y / NA / N /®/ V /© / T / 5 ] <br />LCJ TOPSOIL ........................... L Y / NA / N / ®/ V / B / T / S J <br />LCJ GENERAL MINE PLAN COMPLIANCE.,,,,,, L Y / NA / N / ®/ V / B / T / S ] <br />lCJ FISH 8 NILOLIFE ................... l~ / NA / N / R / Y / B / T / S ] <br />LCJ REVEGETATION ...................... L Y' / NA / N / ®/ V / B / T / S ] <br />LC1 AIR RESOURCE PROTECTION........... L Q' NA / N / R / V / B / T / S ] <br />LCJ SLIDES 8 DAMAGE ................... L Y / ®/ N / R / V / B / T / S ] <br />LCJ SUBSIDENCE ........................ LQ/ NA / N / R / V / B / T / 5 ] <br />lCJ EXCESS SPOIL 8 DEVELOPMENT WASTE.. L Y / NA / N / R / V / ®/ T / S ] <br />LCJ OFFSITE SUPPORT FACILITIES........ L Y / NA /QN / R / V / B / T / S <br />LCJ RECLAMATION SUCCESS ............... LQ / NA / N / R / V / e / T / S ] <br />LCJ SPECIAL CATEGORIES OF MINING...... L Y / 1~ / N / R / V / B / T / S ] <br />(1) l20 <br />(2) --------------------- Spaces <br />(3) -------------------- Max] <br />- - - - - - - - - - - - - - - - - - - - <br />LCJ OTHERS ............................ L Y / I/~/ N / R / V / 8 / T ] <br />(1) L20 <br />(2) -------------------- Spaces <br />(3) -------------------- MazJ <br />- - - - - - - - - - - - - - - - - - - - <br />NOTE: LCJ ~ Required Entry, <br />