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For The Following Entries, Circle The ~rorpiate Choice: <br />Y = Inspecte~an foun ~n com~iance, <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 />C AVAILABILITY OF RECORDS........... [ Y / NA /Q / R / V / B / T / S ] <br />[C] SIGNS AND MARKERS ................. [ Y / NA / N / ®/ V / B / T / S ] <br />[C] ROADS ............................. [Q/ NA / N / R / V / B / T / S ] <br />[C] HYDROLOGIC BALANCE ................ [ Y / NA / N /~/ V / B / T / S ] <br />[C] BACKFILL & GRADING ................ [~/ NA / N / R / V / B / T / S ] <br />[C] EXPLOSIVES ........................ [ Y / NA /~ / R / V / B / T / S ] <br />[C] PROCESSING WASTES ................. [ Y / NA / N /~/ V / B / T / S ] <br />[C] SUPPORT FACILITIES ................ ~Y / NA / N / R / V / B / T <br />[C] TOPSOIL ........................... [ Y / NA / N ~/ V / B / T / S <br />[C] GENERAL MINE PLAN COMPLIANCE...... [ Y / NA / N ~/ V / B / T / 5 ] <br />[C] FISH & WILDLIFE ................... ~/ NA / N / R / V / B / T / S ] <br />[C] REVEGETATION ...................... [~/ NA / N / R / V / B / T / S ] <br />[C] AIR RESOURCE PROTECTION........... [QY / NA / N / R / V / B / T / S ] <br />[C] SLIDES & DAMAGE ................... [ Y NA / N / R / V / 6 / T / S ] <br />[C] SUBSIDENCE ........................ [ Y / NA ~/ R / V / B / T / S ] <br />[C] EXCESS SPOIL & DEVELOPMENT WASTE.. [ Y / NA / N ~/ V / B / T / S ] <br />[C] OFFSITE SUPPORT FACILITIES........ [ Y NA / N / R / V / B / T / S ] <br /> <br />[C] RECLAh1A7I0N SUCCESS ............... [C~/ NA / N / R / V / 6 / T / S ] <br />[C] SPECIAL CATEGORIES OF MINING...... [ Y / NA / N / R / V / B / T / S ] <br />(1) -------------------- [20 <br />(2) Spaces <br />--- -- -------_ Max] <br />- - - - - - - - - - - - - - - - - - - <br />[C] OTHERS ............................ [ Y / NA / N / R / V / B / T ] <br />20 <br />1) ----- <br />2) - - - - - - - - - - - - - - - <br />- - - - - Spaces <br />- - - - - - - - - - - - - - - - - - - - Max] <br />3) <br />- - - - - - - - - - - - - - - <br />NOTE: [C] = Required Entry. <br />~ 1\ " <br />