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For the Following Entries, Circle The ADPropriate Choice: <br />= nspec a ari oun to comp Lance, <br />NA = Inspection Topic not applicable, <br />N =Not Inspected, <br />R =Inspected and Comments noted, <br />V =Inspected and Violations (NOV) or Cessation Order (CO) issued, <br />B = Inspected and both Comments noted & Violations or Cessation <br />Ur der 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 cortlnent 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 ............................. LQ/ NA / N / R / V / B / T / S J <br />LCJ HYDROLOGIC BALANCE ................ L Y / NA / ©/ R / V / B / T / S J <br />LCj BACKFILL & GRADING ................ L Y / NA / N /®/ V / B / T / S ] <br />LCJ EXPLOSIVES ........................ L Y / NA / NQ/ R / V / B / T / S j <br />LCJ PROCESSING WASTES ................. L Y / ®/ N/ R/ V / B / T / S J <br />LCJ SUPPORT FACILITIES ................ L Y / NA /®/ R / Y / B / T / S J <br />LC] TOPSOIL ........................... L Y ! NA ! N/ R(~1 V 1 B / T 1 S ] <br />LCJ GENERAL MINE PLAN COMPLIANCE,,,,,, L Y / NA / N / ~/ V / B / T / S ] <br />LCJ FISH & WILDLIFE ................... L Y / NA / N / ®/ V / B / T / S ] <br />LCJ REVEGETATION ...................... L Y / NA /®/ R / V / B / T / S ] <br />LCJ AIR RESOURCE PROTECTION........... L ~/ NA / N / R / V / B / T / S ] <br />LCJ SLIDES 8 DAMAGE ................... L Y / NA / (~J / R / V / B / T / S ] <br />LCJ .. <br />SUBSIDENCE L Y / ®/ N / R / V / B / T / S ] <br /> ...................... <br />LCJ EXCESS SPOIL & DEVELOPMENT WASTE.. L Y J NA / N 1 ®! Y / B ! T f S ] <br />LCJ OFFSITE SUPPORT FACILITIES........ L Y /®/ N / R / V / B / T / S ] <br />LCJ RECLAMATION SUCCESS ............... L Y / NA /~/ R / V / 8 / T / S ] <br />LCJ SPECIAL CATEGORIES OF MINING...... L Y /~/ N / R / V / B / T / S ] <br />(2) -------------------- Leo <br />Spaces <br />- - - - - - - - - - - - - - - - - - - Max] <br />(3) - - - - - - - - - - - - - - - - - - - - <br />LCJ OTHERS ............................ L Y /~ N/ R/ V/ B/ T J <br />- 20 <br />(2) ------------------- LSpaces <br />- - - - - - - - - - - - - - - - - - - - Max] <br />(3) - - - - - - - - - - - - - - <br />NOTE: LC1 = Required Entry. <br />/ D/I 9/9~ ~..+J U~/~ <br />