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G-~- -oi9 <br />~1~~~9 / <br /> <br />For The Following Entries, Circle The Approrpiate Choice: <br />Y =inspected and foul-in 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 b 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 AVAILABILITY OF RECORDS........... [ Y / NA /©/ R / V / B / T / S ] <br />[C] SIGNS AND MARKERS ................. [(~/ NA / N / R / V / B / T / S ] <br />[C] ROADS ............................. [ ~/ NA / N / R / V / B / T / S ] <br />[C] HYDROLOGIC BALANCE ...:............ [ Y / NA / N / <br />/ V / B / T / S ] <br />[C] BACKFILL b GRADING ................ [ Y / NA / N / ~ <br />R / V / B / T / S ] <br />[C] 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 / N /®/ V / B / T / S ] <br />[C] TOPSOIL ........................... [ Y / NA / N /®/ V / B / T / S ] <br />[C] GENERAL MINE PLAN COMPLIANCE...... [~/ NA / N / R / V / B / T / S ] <br />[C] FISH b WILDLIFE ................... [~/ NA / N / R / V / B / T / S ] <br />[C] REVEGETATION ...................... [ Y / NA / N / R / V / B / T / S ] <br />[C] AIR RESOURCE PROTECTION........... [ / NA / N / R / V / B / T / S ] <br />[C] SLIDES b DAMAGE ................... [ Y / NA / N / R / V / B / T / S ] <br />[C] SUBSIDENCE ........................ [ Y /~/ N / R / V / B / T / S ] <br />[C] EXCESS SPOIL b DEVELOPMENT WASTE.. [ Y / NA / N ~/ V / B / T / S ] <br />[C] OFFSITE SUPPORT FACILITIES........ [ Y /~/ N / R / V / B / T / S ] <br />[C] RECLAMATION SUCCESS ............... [ Y / NA / N / fa/ V / B / T / 5 ] <br />[C] SPECIAL CATEGORIES OF MINING...... [ Y / JA / N / R / V / B / T / S ] <br />(1) ------ ----- [20 <br />(2) ---- -------------- Spaces <br />(3) -------------------- Max] <br />[CJ OTHERS ............................ [ Y /~/ N / R / V / B / T ] <br />20 <br />(1) - - - - - - - - - - - - <br />- - - - - - - - <br />paMax] <br />(3) - - - - - - - - - - - - - - - - - - - - <br />NOTE: [C] = Required Entry. <br />