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<br /> <br />The Following Entries, Circle The Approrpiate Choice: <br />Y = Inspected a~ o~und 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........... [©/ NA / N / R / V / B / T / S ] <br />[C] SIGNS AND MARKERS ................. [CFA/ NA / N / R / V / B / T / S ] <br />[C] ROADS ............................. [ ©/ 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 ........................ [ ©/ NA / N / R / V / B / T / S ] <br />[C] PROCESSING WASTES ................. [ ©/ NA / N / R / V / B / T / S ] <br />[C] SUPPORT FACILITIES ................ [ ©/ NA / N / R / V / B / T / S ] <br />[C] TOPSOIL ........................... [ Y / NA / N / ®/ V / B / T / 5 ] <br />[C] GENERAL MINE PLAN COMPLIANCE...... [ ®/ NA / N / R / V / B / T / 5 ] <br />[C] FISH & WILDLIFE ................... [~J NA J N / R J V ( B J T / S ] <br />[C] REVEGETATION ...................... [ Y / NA / N /®/ V / B / T / S ] <br />[C] AIR RESOURCE PROTECTION........... [Q / NA / N / R / V / B / T / S ] <br />[C] SLIDES & DAMAGE ................... [ ©/ NA / N / R / V / B / T / S ] <br />[C] SUBSIDENCE ........................ [®/ NA / N / R / V / B / T / 5 ] <br />[C] EXCESS SPOIL b DEVELOPMENT WASTE.. [ Y / NA / N /® / V / B / T / S ] <br />[C] OFFSITE SUPPORT FACILITIES........ [ Y / ® / N / R / V / B / T / S ] <br />[C] RECLAh1ATI0N SUCCESS ............... [©/ NA / N / R / V / B / T / S ] <br />[C] SPECIAL CATEGORIES OF MINING...... [ Y / ® / N / R / V / B / T / S ] <br />- - - - - - - - - - - - - - - <br />(2) -------------------- Spaces <br />(3) -------------------- Max] <br />[C] OTHERS ............................ [ Y / NA / N / R / V / B / T ] <br />1) [20 <br />- - - - - - - - - - - - - - - - - - - - <br />2) - - - Spaces <br />- - - - - - - - - - - - - - - - - - - - Max] <br />3) - - - - - - - - - - - - - - - - - <br />NOTE: [CJ = Required Entry. <br /> <br />