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_ .~ <br />For The Following Entries, Circle The Approrpiate Choice: <br />Y = Inspected and found in compliance, <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 />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 AVA LABILITY OF RECORDS........... [ Y / NA /®/ R / V / B / T / S ] <br />[C] SIGNS AND MARKERS ................. [ Y / NA /®/ R / V / B / T / S ] <br />[C] ROADS ............................. [ Y / NA /~' R / V / B / T / S ] <br />[C] HYDROLOGIC BALANCE ................ [ Y / NA /COY R / V / B / T / S ] <br />[C] BACKFILL & GRADING ................ [ Y / NA /®/ R / V / B / T / S ] <br />[C] EXPLOSIVES ........................ [ Y / NA /®/ R / V / B / T / S ] <br />[C] PROCESSING WASTES ................. [ Y / NA /®/ R / V / B / T / S ] <br />[C] SUPPORT FACILITIES ................ [ Y / NA /®/ R / V / B / T / S ] <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 ................... [ Y / NA /~' R / V / B / T / S ] <br />[C] REVEGETATION ...................... [ Y / NA /~R~' R / V / B / T / S ] <br />[C] AIR RESOURCE PROTECTION........... [ Y / NA /t~l R / V / B / T / S ] <br />[C] SLIDES & DAMAGE ................... [ Y / NA /~' R / V / B / T / S ] <br />[C] SUBSIDENCE ........................ [ Y / NA /®y R / V / B / T / S ] <br />[C] EXCESS SPOIL & DEVELOPMENT WASTE.. [ Y / NA / ®/ R / V / B / T / S ] <br />[C] OFFSITE SUPPORT FACILITIES........ [ Y / NA ,~J / R / V / B / T / S ] <br />[C] RECLAMATION SUCCESS ............... [ Y / NA /~ R / V / B / T / S ] <br />[C] SPECIAL CATEGORIES OF MINING...... [ Y / NA /Q/ R / V / B / T / S ] <br />(1) [20 <br />- - - - - - - - - - - - - - - - - - - - <br />(z) ---------------- __ Spaces <br />(3) - - Max] <br />- - - - - - - - - - - - - - - - - - - - <br />[C] OTHERS ............................ [ Y / NA / N /®/ V / B / T ] <br />(2) ~QAl~-~,~~I~Q.SA21.II1`I---- [Spaces <br />(3) -------------------- Max] <br />- - - - - - - - - - - - - - - - - - - - <br />NOTE: [C] = Required Entry. <br />