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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 />Y =Inspected and Violations (rIOV) or Cessation Order (CO) issues, <br />B = Inspected and both Comments noted 8 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 J <br />LCJ SIGNS AND MARKERS ................. L Y / NA /~/ R / V / B / T / S ] <br />LCJ ROADS ............................. L Y / NA /~/ R / V / B / T / S ] <br />LCJ HYDROLOGIC BALANCE ................ L Y / NA / N / R~/©/ T / S J <br />LCJ BACKFILL 8 GRADING ................ L Y / NA / N / ®/ V / B / T / S ] <br />LC] EXPLOSIVES ........................ L Y / NA /ON / R / V / B / T / S J <br />LCJ PROCESSING WASTES ................. L Y /Q / N/ R/ V/ B/ T/ S J <br />LCJ SUPPORT FACILITIES ................ L Y / NA /Q/ R / V / B / T / S ] <br />LCJ TOPSOIL ........................... L Y / NA / N /®/ Y / B / T / S ] <br />LCJ GENERAL MINE PLAN COMPLIANCE,,,,,, LQ/ NA / N / R / V / B / T / S J <br />LCJ FISH 8 WILDLIFE .................. ./ NA /~/ R / V / B / T / S ] <br />LCJ REVEGETATION ...................... L Y / NA / ®/ R / V / B / T / S ] <br />LCJ AIR RESOURCE PROTECTION........... LQ/ NA / N / R / V / B / T / S J <br />LCJ SLIDES & DAMAGE ................... L Y / NA /[~/ R / V / B / T / S ] <br />LCJ SUBSIDENCE ........................ L Y/ ®/ N/ R/ V/ B/ T/ S J <br />LCJ EXCESS SPOIL & DEVELOPMENT WASTE.. L Y / NA / ®/ R / V / B / T / S ] <br />LCJ OFFSITE SUPPORT FACILITIES........ L Y /~ / N / R / V / B / T / S ] <br />LCJ RECLAMATION SUCCESS ............... L Y / NA / QN / R / V / B / T / S ] <br />lCJ SPECIAL CATEGORIES OF MINING...... L Y / NA / Q/ R / V / B / T / S ] <br />(1) ~ y (1 ~ rL - N'1 I N I N ~-------- L20 <br />12) Spaces <br />(3) -------------------- Max] <br />- - - - - - - - - - - - - - - - - - - - <br />LCJ OTHERS ............................ L Y / NA / N / R / V / B / T ] <br />(1) L20 <br />(2) -------------------- Spaces <br />(3) -------------------- MaxJ <br />- - - - - - - - - - - - - - - - - - - - <br />NOTE: LCJ = Required Entry. <br />os~r~/9z <br />