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For The Following Entries, Circle The Appropriate Choice: <br />= nspec a 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 (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 /> <br />CORDS........... <br />L <br />Y <br />/ NA / <br />N ,~/ V / B / T / S ] <br />LCJ SIGNS AND MARKERS ................. L Y / NA / N /~/ V / B / T / S J <br />LCJ ROADS ............................. L Y / NA / N /~/ V / B / T / S J <br />LCJ HYDROLOGIC BALANCE ................ L Y / NA / N /®/ V / B / T / S J <br />LCJ BACKFILL & GRADING ................ L Y / IA / N / R / V / B / T / S 7 <br />LCJ EXPLOSIVES ........................ ~Y / NA / N / R / V / B / T / S J <br />Lr,] PROCESSING WASTES ................. L Y / NA / N ~/ V / B / T / S J <br />LCJ SUPPORT FACILITIES ................ L Y / NA / N ~/ V / B / T / S <br />LCJ TOPSOIL ........................... L Y / NA / N /®/ V / B / T / S <br />LCl GENERAL MINE PLAN COMPLIANCE,,,,,, LDY / NA / N / R / V / B / T / S <br />LG1 FISH & WILDLIFE ................... LCY~/ NA / N / R / V / B / T / S J <br />LCJ REVEGETATION ...................... L Y / NA / N /~/ V / B / T / S J <br />LCJ AIR RESOURCE PROTECTION........... LO/ NA / N / R / V / B / T / S J <br />LCJ SLIDES & DAMAGE ................... L Y / N~/ N / R / V / B / T / S 1 <br />LCJ SUBSIDENCE ........................ L~ NA / N / R / V / B / T / S J <br />LCJ EXCESS SPOIL & DEVELOPMENT WASTE.. L Y /®/ N / R / V / B / T / S <br />LCJ OFFSITE SUPPORT FACILITIES........ L Y /(~ / N / R / V / B / T / S J <br />LCJ RECLAMATION SUCCESS ............... L Y ~/ N / R/ V / B / T / S <br />LCJ SPECIAL CATEGORIES OF MINING...... L Y / NA / N / R / V / B / T / S J <br />(2) -------------------- L2Spaces <br />(3) ----'--------------- MaxJ <br />- - - - - - - - - - - - - - - - - - - - <br />LCJ OTHERS ............................ L Y / NA / N / R / Y / B / T ] <br />(1) - - - - - - - - - - - - - - - - - - - - <br />(2) -------- <br />- - - - - - - - - - - - <br />(3) - - - - - - - - - - - - - - - - - - - - <br />NOTE: LCJ = Required Entry. <br />L20 <br />Spaces <br />Ma xJ <br />a/ao~9a- ~~ <br />