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<br /> <br /> <br />For The Following Entries, Circle The Approrpiate Choice: <br />= nspec a an oun~in comp fiance, <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 />_ AVAILABIL TY 0 R CORDS........... [ Y / NA / / R / V / B / T / S ] <br />[r] SIGNS AND MARKERS ................. [ Y / NA ~ <br />/ N / R / V / B / T / S ] <br /> <br />~f] ROADS ............................. [O / NA / N / R / V / B / T / S ] <br />[(.] HYDROLOGIC BALANCE ................ [~) NA ! N J R / V / B / T / S ] <br />[~J BACKFILL & GRADING ................ [ Y / NA ~ / R / V / B / T / S ] <br />[(:] EXPLOSIVES ........................ [~/ NA / N / R / V / 6 / T / S ] <br />[C] PROCESSING WASTES ................. [ Y ! NA / N / R / V / B J T J S ] <br />[C] SUPPORT FACILITIES ................ [~/ NA / N / R / V / B / T / S ] <br />[C] TOPSOIL ........................... [~/ NA / N / R / V / B / T / S ] <br />[C] GENERAL MINE PLAN COMPLIANCE...... [~ NA / N / R / V / B / T / S ] <br />[LJ FISH & WILDLIFE ................... [ Y / NA /~/ R / V / B / T / S ] <br />[C] REVEGETATION ...................... [~! / NA /N j R / V j B / T / S ] <br />[C] AIR RESOURCE PROTECTION........... [ Y / NA ~ / R / V / E / T / S ] <br />[C] SLIDES & DAMAGE ................... [ Y / NA N / R / V / B / T / S ] <br />[C] SUBSIDENCE ........................ [ Y / NA N / R / V / B / T / S ] <br />[C] EXCESS SPOIL b DEVELOPMENT WASTE.. [ Y / ~ / N / R / V ! B / T / S ] <br />[C] OFFSITE SUPPORT FACILITIES........ [ Y / ~ / N / R / V / B / T / S ] <br />[C] RECLAMATION SUCCESS ............... [ Y / NA / 1~ / R / V / B / T / S ] <br />[C] SPECIAL CATEGORIES OF MINING...... [ Y / NA / N / R / V / B / T / S ] <br />(1) -------------------- [20 <br />3~ -------------------- Spaces <br />- - - - - - - - - - - - - - - - - - - - Max] <br />[C] OTHERS ............................ [ Y j A~/ N j R/ V/ 8/ T] <br />(1) -------------------- [20 <br />____________________ Spaces <br />(3) -------------------- Max] <br />NOTE: [C] = Required Entry. <br />