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z <br />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) issues, <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 ana location of sample taken under comment section, <br />GENERAL INSPECTION TOPICS: <br /> C L Y NA ~ T <br /> ORDS........... ~~~~ / / / R / V / B / / S ] <br />LCJ SIGNS AND MARKERS ................. L yy <br />pyy <br />(r ,,,,, <br />// NA / N / R / Y / B / T / S ] <br />LC] ROADS ............................. L Y~ / NA / N / R / V / B / T / S ] <br />LCJ HYDROLOGIC BALANCE ................ L ~1 NA / N / R / Y / B / T / S 1 <br />LCJ BACKFILL & GRADING ................ L Y / NA / N / ®/ V / B / T / S ] <br />LCJ EXPLOSIVES ........................ L Y / A / N / R/ V / B / T / S ] <br />LCJ PROCESSING WASTES ................. L Y / A / N / R/ Y 1 B / T / S ] <br />LC] SUPPORT FACILITIES ................ L Y / A / N /®/ V / B / T / S ] <br /> <br />LCJ TOPSOIL ........................... L Y / NA / N / R / V / B / T / S ] <br />LC] GENERAL MINE PLAN COMPLIANCE,,.... L Y / NA / N / R / V / B / T / S ] <br />LCJ FISH & WILDLIFE ................... L ~' NA / N / R / V / B / T / S ] <br />LCJ REVEGETATION ...................... L Y / NA / N /~! Y / B / 7 ! S ] <br />LCJ AIR RESOURCE PROTECTION........... L Y / A~/ N / R / V / B / T / S ] <br />LCJ SLIDES & DAMAGE ................... l ~/ NA / N / R / V / B / T / S ] <br />LCJ SUBSIDENCE ........................ L Y / / N / R / V / B / T / S ] <br />LCJ EXCESS SPOIL & DEVELOPMENT WASTE.. L Y / NA / N / R / V / B / T / S J <br />LCJ OFFSITE SUPPORT FACILITIES........ L Y ! / N / R / V / B / T / S ] <br />LCJ RECLAMATION SUCCESS ............... L Y / NA / N / ~' V / B / T / S ] <br />LCJ SPECIAL CATEGORIES OF MINING...... L Y / JA / N / R / V / B / T / S ] <br />(1) L20 <br />(2) -------------------- Spaces <br />(3) -------------------- MaxJ <br />- - - - - - - - - - - - - - - - - - - - <br />LCJ OTHERS ............................ L Y/ NA / N 1 R! V! B! T] <br />(1) <br />(2) - - - - - - - - - - - - - - - - - - - - <br />(3) - - - - - - - - - - - - - - - - - - - - <br />- - - - - - - - - - - - - - - - - - - - <br />L20 <br />Spaces <br />Max] <br />NOTE: LCJ = Required Entry. <br />