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For The Follo~,ing Entries, Circle The Appropriate Choice: T Inspected ana found in co~npTiance, NA = Inspection Topic not applicable, N = Ndt Inspected, R = Inspected and Comments noted, V =Inspected ana Violations (NOV) or Cessation Order (CO) issues, B Inspected and both Comments noted & Violations or Cessation Grder issued, T 10 Day Notice Issues by OSM Oversight personnel, S = Sa~nple taken and sent to the lab from analysis - describe type ana location of sample taken under co mnent section. GENERAL INSPECTION TOPICS: CORDS........... L Y / NA /~/ R / V / g / T / S ] LCJ SIGNS AND MARKERS ................. L Y / NA / N /~/ V / B / T / S J LCJ ROADS ............................. L Y / NA / N /~ / V / B / T / S J LCJ HYDROLOGIC BALANCE ................ L Y / NA / N / ®/ V / B / T / S LC1 BACKFILL & GRADING ................ L Y/ A / N / R / V / B / T / S J LCJ EXPLOSIVES ........................ L Y/ N / N / R / V / B / T / S j LCJ PROCESSING WASTES ................. L Y / NA / N / R / V / B / T / $ J LCJ SUPPORT FACILITIES ................ L ~1 / NA / N / R / V / B / T / S ] LCJ TOPSOIL ........................... L Y~/ NA / N / R / V / B / T / S j LCJ GENERAL MINE PLAN COMPLIANCE...... L / NA / N / R / V / B / 7 / S LCJ FISH 8 WILDLIFE ................... L Y / NA / N / R / 4 / B / T / 5 LCj REYEGETATION ...................... L Y / NA / N / R / Y / B / T / S ] LCJ AIR RESOURCE PROTECTION........... L YO/ NA / N / R / V / B / T / S ICJ SLIDES 8 DAMAGE ................... L Q / NA / N / R / V / B / 7 / S ] LCj SUBSIDENCE ........................ L Y/ NA / N / R / V / B / T / S J LCj EXCESS SPOIL & DEVELOPMENT WASTE.. L Y / NA / N / R / V / 8 / T / S ] LCj OFFSITE SUPPORT FACILITIES........ L Y / NA / N / R / V / B / T / S ] LCJ RECLAMATION SUCCESS ............... L ~/ NA / N / R / V / B / T / S LCJ SPECIAL CATEGORIES OF MINING...... L Y / NA / N / R / V / B / T / S J (1) -------- L20 (2) ------------ Spaces (3) -------------------- Max] - - - - - - - - - - - - - - - - - - - - LCJ OTHERS ............................ L Y/ NA / N~ V/ B/ T J n) ~onlD S~v~---------= Lzo (p) Spaces - - - - - - - - - - - - - - - ----- Max) (3) - - - - - - - - - - - - - - NOTE: LCj = Required Entry.