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:~ <br />fhe Foll~~owi~~n~Entries Circle The Approrpiate Choice: <br />Y-~nspec~ed a-n~foundin comTiance, <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) issue <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. <br />GENERAL INSPECTION TOPICS: <br />C AV BIL TY 0 CORDS........... [ Y / NA / ®/ R / V / B / T / S ] <br />[C] SIGNS AND MARKERS ................. [ Q / NA / N / R / V / B / T / S ] <br />~l:] ROADS ............................. [ ©/ NA / N / R / V / B / T / S ] <br />[L] HYDROLOGIC BALANCE ................ [ Y / NA / N /®/ V / B / T / S ] <br />[l;j BACKFILL & GRADING ................ [ Y / NA /~ / R / V / B / T / S ] <br />[(:] EXPLOSIVES ........................ [ Y / NA / ©/ R / V / B / T / S ] <br />[C] PROCESSING WASTES ................. [ Y /® / N / R / V / B / T / S ] <br />[C] SUPPORT FACILITIES ................ [ Y / NA / ®/ R / V / B / T / S ] <br /> <br />[C] TOPSOIL ........................... [ Y / NA / ©/ R / V / B / T / S ] <br />[C] GENERAL MINE PLAN COMPLIANCE...... [ Y / NA / ©/ R / V / B / T / S ] <br />[C] FISH & WILDLIFE ................... [ ©/ NA / N / R / V / B / T / S ] <br />[C] REVEGETATION ...................... [ Y / NA / ®/ R / V / B / T / S ] <br />[C] AIR RESOURCE PROTECTION........... [©/ NA / N / R / V / B / T / S ] <br />[C] SLIDES & DAMAGE ................... [ Y / NA / ®/ R / V / B / T / S ] <br />[C] SUBSIDEPICE ........................ [ Y / ®/ N / R / V / B / T / S ] <br />[C] EXCESS SPOIL b DEVELOPMENT WASTE.. [ Y / NA / ®/ R / V ! B / T / S ] <br />[C] OFFSITE SUPPORT FACILITIES........ [ Y / ®A / N / R / V / B / T / S ] <br />[C] RECLAMATION SUCCESS ............... [ Y / NA / ®/ 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 />[C] OTHERS ............................ [ Y NA N / R / V / B / T ] <br />------- Spaces <br />(2) - ------- [20 <br />(3) ---------- -- Max] <br />- - - - - - - - - - - - - - - - - - - - <br />NOTE: [C] = Required Entry. <br />