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For The Following Entries, Circle The Approrpiate Choice: <br />= Inspecte an oun in com ip ip ance, <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 AVAILABILITY OF RECORDS........... [ Y / NA / t(~ / R / V / B / T / S ] <br />[C] SIGNS AND MARKERS ................. [ Q / NA / N / R / V / B / T / S ] <br />[C] ROADS ............................. [ ©/ NA / N / R / V / B / T / S ] <br />[C] HYDROLOGIC BALANCE ................ [ Y / NA / N /~/ V / B / T / S ] <br />[C] BACKFILL & GRADING ................ [ Y / NA / ©/ R / V / B / T / S ] <br />[C] EXPLOSIVES ........................ [~Y / NA / N / R / V / B / T / S ] <br />[C] PROCESSING WASTES ................. [ Y / l~li1/ N / R / V / B / T / S ] <br />[C] SUPPORT FACILITIES ................ [ Y / J~'1A / N / R / V / B / T / S ] <br />[C] TOPSOIL ........................... [ Q / NA / N / R / V / B / T / S ] <br />[C] GENERAL MINE PLAN COMPLIANCE...... [GY / NA / N / R / V / B / T / S ] <br />[C] FISH & WILDLIFE ................... [ ®/ NA / N / R / V / B / T / S ] <br />[C] REVEGETATION ...................... [ Y / ~ / N / R / V / B / T / S ] <br />[C] AIR RESOURCE PROTECTION........... [(~ / NA / N / R / V / B / T / S ] <br />[C] SLIDES & DAMAGE ................... [ Y / l~A / N / R / V / B / T / S ] <br />[C] SUBSIDENCE ........................ [ Y / N~l/ N / R / V / B / T / S ] <br />[C] EXCESS SPOIL & DEVELOPMENT WASTE.. [UY / NA / N / R / V / B / T / S ] <br />[C] OFFSITE SUPPORT FACILITIES........ [ Y /~ / N / R / V / B / T / S ] <br />[C] RECLAMATION SUCCESS ............... [ Y / l~O / N / R / V / B / T / S ] <br />[C] SPECIAL CATEGORIES OF MINING...... [ Y / ®/ N / R / V / B / T / S ] <br />(1) -------------------- [20 <br />(2) _________ Spaces <br />(3) -------------------- Max] <br />[C] OTHERS ............................ [ Y / ®/ N / R / V / B / T ] <br />[20 <br />(1) - - - - - - - - - - - <br />_______ paces <br />(3) -------------------- Max] <br />NOTE: [C] = Required Entry. <br />