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<br /> <br />For The Following Entries. Circle The Approrpiate Choice: <br />r = inspectea ana round in compliance, <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 Oay 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 0 RECORDS........... [ Y / NA / Q / R / V / B / T / S ] <br />[C] SIGNS AND MARKERS ................. [ QY / NA / N / R / V / B / T / S ] <br />~l:] 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 / N / ®/ V / B / T / S ] <br />[C] EXPLOSIVES ........................ [ Y / NA / ®/ R / V / B / T / S ] <br />[C] PROCESSING WASTES ................. [ Y / NA /~/ R / V / B / T / S ] <br />[C] SUPPORT FACILITIES ................ [ Y / NA / ©/ R / V / B / T / S ] <br />[C] TOPSOIL ........................... [ Y / NA / N / ®/ V / B / T / S ] <br />[C] GENERAL MINE PLAN COMPLIANCE...... [ Y / NA / ®/ R / V / B / T / S ] <br />[CJ FISH & WILDLIFE ................... [ ©/ NA / N / R / V / B / T / S ] <br />[C] REVEGETATION ...................... [ Y / NA / ®/ R / V / B / T / S ] <br />[C] AIR RESOURCE PROTECTION........... [ ~/ NA / N / R / V / E / T / S ] <br />[C] SLIDES & DAMAGE ................... [ Y / NA / ©/ R / V / B / T / S ] <br />[C] SUBSIDENCE ........................ [ Y / C[T~A / N / R / V / B / T / S ] <br />[C] EXCESS SPOIL & DEVELOPMENT WASTE.. [ Y / NA / m / R / V ! B / T / S ] <br />[C] OFFSITE SUPPORT FACILITIES........ [ Y / ~/ N / R / V / B / T / S ] <br />[C] RECLAMATION SUCCESS ............... [ Y / NA / !~/ R / V / B / T / S ] <br />[C] SPECIAL CATEGORIES OF MINING...... [ Y / NA / N / R / V / B / T / 5 ] <br />(1) -------------------- [20 <br />(2) ------------------- Spaces <br />(3) -------------------- Max] <br />[C] OTHERS ............................ [ Y / ~/ N / R / V / B / T ] <br />(1) -------------------- [20 <br />~3~ -------------------- SpaMax] <br />NOTE: [C] = Required Entry. <br />