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For The Followin Entries, Circle The A rorpiate Choice: <br />= Inspecte an foun 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) 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 ( ry// R / V / B / T / S ] <br />[C] SIGNS AND MARKERS ................. [ Y / NA ~/ R / V / B / T / S ] <br />[C] ROADS ............................. [ Y / NA / N /~/ V / B / T / S ] <br />[C] HYDROLOGIC BALANCE ................ [ Y / NA / N ~' V / B / T / S ] <br />[C] BACKFILL & GRADING ................ [ Y / NA ~/ R / V / B / T / S ] <br />[C] EXPLOSIVES ........................ [ Y N / N / R / V / B / T / S ] <br />[C] PROCESSING WASTES ................. [ Y NA / N / R / V / B / T / S ] <br />[C] SUPPORT FACILITIES ................ [~yT/ NA / N / R / V / B / T / S ] <br />[C] TOPSOIL ........................... [ Y / NA / N ~/ V / B / T / S ] <br />[C] GENERAL MINE PLAN COMPLIANCE...... ~/ NA / N / R / V / B / T / S ] <br />[C] FISH & WILDLIFE ................... [ Y / NA N / R / V / B / T / S ] <br />[C] REVEGETATION ...................... [ Y / NA N / R / V / B / T / S ] <br />[C] AIR RESOURCE PROTECTION........... [ Y / NA N R / V / B• / T / S ] <br />[C] SLIDES & DAMAGE ................... [ Y NA N / R / V / 6 / T / S ] <br />[C] SUBSIDENCE ........................ [ Y N R / V / E: / T / S ] <br />[C] EXCESS SPOIL & DEVELOPMENT WASTE.. ~/ NA / N / R / V / ES / T / S ] <br />[C] OFFSITE SUPPORT FACILITIES........ [ Y N / N / R / V / E. / T / S ] <br />[C] RECLAMATION SUCCESS ............... [ Y / N / N / R / V / ES / T / S ] <br />[C] SPECIAL CATEGORIES OF MINING...... [ Y / NA / N / R / V / E3 / T / S ] <br />(1) --------------------- [20 <br />(2) --------------------- Spaces <br />(3) -------------- Max] <br />f~ ----- <br />[C] OTHERS ............................ [ Y NA / N / R / V / B / T ] <br />20 <br />- _ - Spaces <br />(3) ----------------- Max] <br />NOTE: [C] = Required Entry. <br />irk <br />