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~.. <br /> • • <br />• .. <br />~~,+ >x For The Following_Entri_es_, Circle The Approrp ia te Cho ic e: <br /> Y- = Tnspecte an oun in comp fiance, <br /> NA = Inspection Topic n ot applica bly, <br /> N =Not Inspected, <br /> R =Inspected and Comments noted , <br /> V =Inspected and Viol ations (NO V) or Cessation Order (CO) issued, <br /> B =Inspected and both Comments noted & Violations or Cessation <br /> Order issued, <br /> T = i0 Day Notice Issu ed by OSM Oversig ht Personnel, <br /> S = Sampie taken and s ent to the iab from analysis - describe <br />j type and location of sample taken under comm ent s ection. <br />GENERAL INSPECTION TOPICS: <br /> <br />~ C <br />AVAI ABILI Y 0 RECORDS........... <br />[ Y / NA ~~11 <br />/~J/ R <br />/ <br />V <br />/ <br />B <br />/ <br />T <br />/ <br />S ] <br />[CJ SIGNS AND MARKERS ................. [ Y / NA / Q{~/ R / V / B / T / S ] <br />! [C] ROADS ............................. [ Y / NA /~ / R / V / B / T / S ] <br />(C] HYDROLOGIC BALANCE ................ [ ©/ NA / R <br />/ <br />N / V / B / T / S ] <br />(CJ BACKFILL & GRADING ................ [ Y / NA / <br />~ <br />/~// R / U / B / T / S ] <br />(C] EXPLOSIVES ........................ [ Y / NA /~ / R / V / B, / T / S ] <br />[C] PROCESSING WASTES ................. [ Y / ® / N / R / V / B / T / S ] <br />[C] SUPPORT FACILITIES ................ [C7Y / NA / N / R / V / B / T / S ] <br />[C] TOPSOIL ........................... [ Y / NA /~1 / R / V / B / 1' / S ] <br />[C] GENERAL MINE PLAN COMPLIANCE...... [ ©/ NA / N / R / V / 8 / T / S ] <br />'~ [C] FISH & WILDLIFE ................... [ Y / NA /~/ R / V / B / T / S ] <br />[C] REVEGETATION ...................... [ Y / NA /©/ R / V / B / T / S ] <br />[C] AIR RESOURCE PROTECTION........... [ Y / NA /ON / R / V / B / T / S ] <br />[C] SLIDES & DAMAGE ................... [ Y / NA /ON / R / U / B / T / S ] <br />[C] SUBSIDENCE ........................ [ Y / A / N / R / V / B / T / S ] <br />[C] EXCESS SPOIL R DEVELOPMENT WASTE.. [ Y / NA / N / R / V / B / T / S ] <br />[C] OFFSITE SUPPORT FACILITIES........ [ Y / NA / N / R / V / B / T / S ] <br />[C] RECLAMATION SUCCESS ............... j Y / A / N / R / V / B / T / S ] <br />[C] SPECIAL CATEGORIES OF MINING...... [ Y / NA / N / R / V / B / T / S ] <br />(l) -------- -- [20 <br />(2) ________-___'_-_-_-"__'__ Spaces <br />(3) -----~..__-_...---------- Max] <br />[C] OTHERS ............................ [ Y / NA / N / R / V / B / T ] <br />NOTE <br />tl <br />~. <br />~Z} -------------------- [Spaces <br />(3) -------------------- Max] <br />[C] = Required Entry. <br />.~iii+4Y:~'Q:.• <br />