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T r • <br /> <br />For The Following Entries. Circle The Aoororoiate Choice: <br />r = inspectea ana rouna in compliance, <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 0 R CORDS........... [ Y / NA / ©/ R / V / B / T / S ] <br />[C] SIGNS AND MARKERS ................. [ ©/ NA / N / R / V / B / T / S ] <br />[C] ROADS ............................. [CY5/ NA / N / R / V / B / T / S ] <br />[C'] HYDROLOGIC BALANCE ................ [ Y / NA / N / ®/ V / B / T / S ] <br />[C] BACKFILL & GRADING ................ [ Y / NA / N / ® / V / B / T / S ] <br />[C] EXPLOSIVES ........................ [ Y / NA / Q / R / V / B / T / S ] <br />[C] PROCESSING WASTES ................. [ Y / NA / ~/ R / V / B / T / S ] <br />[C] SUPPORT FACILITIES ................ [ l~J/ NA / N / R / V / B / T / S ] <br />[C] TOPSOIL ........................... [~f / NA / N / R / V / B / T / S ] <br />[C] GENERAL MINE PLAN COMPLIANCE...... [ Y / NA / ©/ R / V / B / T / S ] <br />[C] FISH & WILDLIFE ................... [Cq / NA / N / R / V / B / T / S ] <br />[C] REVEGETATION ...................... [ Y / NA / ©/ R / V / B / T / S ] <br />[C] AIR RESOURCE PROTECTION........... [ ~/ NA / N / R / V / B / T / S ] <br />[C] SLIDES & DAMAGE ................... [~/ NA / N / R / V / B / T / S ] <br />[C] SUBSIDENCE ........................ [ Y / 11nA / N / R / V / B / T / S ] <br />[C] EXCESS SPOIL & DEVELOPMENT WASTE.. [ Y / NA / ~/ R / V / B / T / S ] <br />[C] OFFSITE SUPPORT FACILITIES........ [ Y / RJg~ / N / R / V / B / T / S ] <br />[C] RECLAMATION SUCCESS ............... [ Y / NA / ®/ R / V / B / T / S ] <br />[C] SPECIAL CATEGORIES OF MINING...... [ Y / l / N / R / V / B / T / S ] <br />(1) -------------------- [20 <br />(2) _ Spaces <br />- - - - - - - - - - - - - - - - - - - Max] <br />3 <br />[C] OTHERS ............................ [ Y / ~/ N / R / V / B / T ] <br />------------------ Spaces <br />(2) ------ [20 <br />(3) -------------- Max] <br />- - - - - - - - - - - - - - - - - - - - <br />NOTE: [C] = Required Entry. <br />