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<br />For The Follo.,ing Entries, Circle The ADPropriate Choice: <br />C = Inspected and tounn in compliance, <br />NA = Inspection Topic not applicable, <br />N = Ntlt Inspected, <br />R = Inspected and Comments noted, <br />Y =Inspected and Violations (NOV) or Cessation Order (CO) issued, <br />B =Inspected and bath 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 />CORDS........... L Y/ NA / ®/ R/ V/ B/ T/ S l <br />LCJ SIGNS AND MARKERS ................. Lam/ NA / N / R / V / B / T / S ] <br />ICI ROADS ............................. L ~/ NA L N/ R/ V/ B/ T/ S 1 <br />LCJ HYDROLOGIC BALANCE ................ L ~1`>/ NA / N / R / V / B / T / S <br />LCJ BACKFILL 8 GRADING ................ L ~/ NA / N / R / V / B / T / S J <br />LC] EXPLOSIVES ........................ L Y/ f1A / N / R / V / B / T / S J <br />LCJ PROCESSING WASTES ................. L Y/ GA>/ N / R / V / B / T / S J <br />LCJ SUPPORT FACILITIES ................ L Y / ~ / N / R / V / B / T / S J <br />LCJ TOPSOIL ........................... L~>/ NA / N / R / V / B / T / S J <br />LCJ GENERAL MINE PLAN COMPLIANCE...,.. L Q> / NA / N / R / V / B / T / S J <br />LCJ FISH & WILDLIFE ................... L Q>/ NA / N / R / V / B / T / S <br />LCJ REVEGETATION ...................... L ~ / NA / N / R / V / B / T / S J <br />LCJ AIR RESOURCE PROTECTION........... L Y / ®/ N / R / V / B / T / S <br />LCJ SLIDES & DAMAGE ................... L Y / NA / ®/ R / V / B / T / S ) <br />LCJ SUBSIDENCE ........................ L Y / NA / ®/ R / V / B / T / S <br />LCJ EXCESS SPOIL 8 DEVELOPMENT WASTE.. L Y / ~ / N / R / V / B / T / S ] <br />LCJ OFFSITE SUPPORT FACILITIES........ L Y / NA /(f71 / R / V / B / T / S J <br />LCJ RECLAMATION SUCCESS ............... L~ / NA / N / R / V / B / T / S ] <br />LCJ SPECIAL CATEGORIES OF MINING...... L Y / ®/ N / R / V / B / T / S ) <br />(2j -------------------- L20 <br />------ SDeces <br />(3) ------------~-- <br />- - - - - - - - - - - - - - - - - - - - Max <br />LCJ OTHERS ............................ L Y / NA / N / R / V / B / T ] <br />(1) - - - L20 <br />(2) ----------------- <br />- - - Spaces <br />l3) ----------------'--- Max] <br />- - - - - - - - - - - - - - - - - <br />NOTE: LCJ Required Entry. <br />