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<br /> <br /> <br /> <br />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 /> <br />GENERAL INSPECTION TOPICS: <br />C AVAILABILITY OF RECORDS........... [ Y / NA / N /~g~/ V / B / T / S ] <br />[C] SIGNS AND MARKERS ................. [ Y / NA / N /~ / V / B / T / S ] <br />[C] ROADS ............................. [ CYJ/ NA / N / R / V / B / T / S ] <br />[C] HYDROLOGIC BALANCE ................ [ Y / NA / N /t R)/ V / B / T / S ] <br />[C] BACKFILL & GRADING ................ [ Y / ~lA::/ N / R / V / B / T / S ] <br />[C] EXPLOSIVES ........................ [ Y / NA / N /(~~'/ V / B / T / S ] <br />[C] PROCESSING WASTES ................. [l,Y~/ NA / N / R / V / B / T / S ] <br />[C] SUPPORT FACILITIES ................ [ Y / NA / N /(R :/ V / B / T / S ] <br />[C] TOPSOIL ........................... [ Y / NA / N /(R~ / V / B / T / S ] <br />[C] GENERAL MINE PLAN COMPLIANCE...... [~"P)/ NA / N / R / V / B / T / S ] <br />[C] FISH & WILDLIFE ................... [~Y~ / NA / N / R / V / B / T / S ] <br />[C] REVEGETATION ...................... [ Y / QlA:/ N / R / V / B / T / S ] <br />[C] AIR RESOURCE PROTECTION........... [ ~~/ NA / N / R / V / B / T / S ] <br />[C] SLIDES & DAMAGE ................... [~Y,/ NA / N / R / V / B / T / S ] <br />[C] SUBSIDENCE ........................ [ll'~/ NA / N / R / V / B / T / S ] <br />[C] EXCESS SPOIL & DEVELOPMENT WASTE.. [ Y / l~/ N / R / V / B / T / S ] <br />[C] OFFSITE SUPPORT FACILITIES........ [ Y / 99~/ N / R / V / B / T / S ] <br />[C] RECLAMATION SUCCESS ............... [ Y / ~~ / N / R / V / B / T / S ] <br />[C] SPECIAL CATEGORIES OF MINING...... [ Y / ANA / N / R / V / B / T / S ] <br />(1) ------------ ------ [20 <br />(3) - - - - - - - Spaces <br />-------------- Max] <br />[C] OTHERS ............................ [ Y /~NHI/ N / R / V / B / T ] <br />[20 <br />(1) ---------- <br />- - - - - - - - - - <br />________ paces <br />(3) -------------------- Max] <br />NOTE: [C] = Required Entry. <br />