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<br /> <br />For The Following Entries, Circle The A ror fate Choice: <br />Y = nspected an oun in comp lance, <br />NA = Inspection Topic not applicable, <br />N =Not Inspected, <br />R =Inspected and Comments noted, <br />V = Inspected and Violations (WOV) 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 AVAILABILITY OF RECORDS........... [ Y / NA / (~ / R / V / B / T / S ] <br />[C] SIGNS AND MARKERS ................. [(Y~/ NA / N / R / V / B / T / S ] <br />[C] ROADS ............................. [ Y / NA / N / ®/ V / B / T / S ] <br />[C) HYDROLOGIC BALANCE ................ [ Y / NA / N / (R~/ V / B / T / S ] <br />[C] BACKFILL & GRADING ................ [ Y / (NAB / N / R / V / B / T / S ] <br />[C] EXPLOSIVES ........................ [ Y / ~NA~ / N / R / V / B / T / S ] <br />[C] PROCESSING WASTES ................. [ Y / (NA' / N / R / V / B / T / S ] <br />[C] SUPPORT FACILITIES ................ [ Y / ~IA / N / R / V / B / T / S ] <br />[C] TOPSOIL ........................... [ Y / NA /(N7/ R / V / B / T / S ] <br />[C] GENERAL MINE PLAN COMPLIANCE...... [CY,/ NA / N / R / V / B / T / S ] <br />[C] FISH & WILDLIFE ................... [ Y / NA /,~~ / R / V / B / T / S ] <br />[C] REVEGETATION ...................... [ Y / I~A' / N / R / V / B / T / S ] <br />[C] AIR RESOURCE PROTECTION........... [ Y / NA /[N>/ R / U / B / T / S ] <br />[C] SLIDES & DAMAGE ................... [ Y / LNA~ / N / R / V / B / T / S ] <br />[C] SUBSIDENCE ........................ [ Y / IJA / ~f'r / R / V / B / T / S ] <br />[C] EXCESS SPOIL & DEVELOPMENT WASTE.. [ Y / NA /(N / R / V / B / T / S ] <br />[C] OFFSITE SUPPORT FACILITIES........ [ Y / 'NAB / N / R / V / B / T / S ] <br />[C] RECLAMATION SUCCESS ............... [ Y / (NA / N / R / `J / E / T / S ] <br />[C] SPECIAL CATEGORIES OF MINING...... [ Y / ~ / N / R / V / 6 / T / S ] <br /> <br />(1) ---------- - [20 <br />- - <br />~3~ -------------------- Spaces <br />- - - - - - - - - - - - - - - - - - - - Max] <br />[C] OTHERS ............................ [ Y / NA / N / R / V / B / T ] <br />(1) _ _ _ _ _ _ _ _ _ _ [20 <br />_ _ _ _ _ _ _ _ _ _ Spaces <br />(3) -------------------- I.1ax] <br />NOTE: [C] = Required Entry. <br />