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For The Folly„i~lg Entries, Circle The Appropriata Choice: T = ln5 p4~te0 dn0 TOUnd In CO•npl ld RC2, NA _ Inspection Topic not applicable, N = Nit Inspected, R =Inspected and Comments noted, Y =Inspected and Violations (NOY) or Cessation pr der (CO) issues, B Inspected and both Comments noted 8 Violations or C essation Order issued, 7 10 Day Notice Issued by OSM Oversight personnel, S =Sample taken and sent to the lab from analysis - describe type ano location of sample taken under comment section, GENERAL INSPECTION TOPICS: CORDS........... L Y/ ~/ N/ R/ V/ B/ T/ S l LCJ SIGNS AND MARKERS ................. l Y / Q11 / N / R / Y / B / T / S ] LCJ ROADS ............................. L Y / NA / N /(~/ V / B / T / S J LCJ HYDROLOGIC BALANCE ................ L Y / NA / N /tom/ Y / B / T / S ] LCj BACKFILL 8 GRADING ................ L m/ NA / N / R / V / B / T / S J LCJ EXPLOSIVES ........................ L Y / ~/ N / R/ V / B / T / S J L~;J PROCESSING WASTES ................. L Y / ~/ N / R / V / B / T / S ] LCJ SUPPORT FACILITIES ................ L Y / ®/ N / R/ V / B / T / S l LC] TOPSOIL ........................... L ©/ NA / N / R / V / 8 / T / S J LCJ GENERAL MINE PLAN COMPLIANCE,...,, L Y / ~/ N / R / V / B / T / S ] LCJ FISH 8 WILDLIFE ................... L ©/ NA / N / R / V / B / 7 / S ] LCJ REVEGETATION ...................... L Y / NA / N / ®/ V / 8 / T / S ] LCJ AIR RESOURCE PROTECTION........... L `f / ®/ N / R / V / B / T / S ] LCJ SLIDES 8 DAMAGE ................... L Y / ~ / N / R / V / B / T / S ] LCJ SUBSIDENCE ........................ L Y / ®/ N / R / V / B / T / S ] LCJ EXCESS SPOIL 8 DEVELOPMENT WASTE., l Y / ®/ N / R / V / B / T / S ] LCJ OFFSITE SUPPORT FACILITIES........ l Y /~/ N / R / V / B / T / S J LCJ RECLAMATION SUCCESS ............... l ®/ NA / N / R / Y / B / T / S J LCJ SPECIAL CATEGORIES OF MINING...... L Y / f~/ N / R / V / B / T / S ] (1) L2O (2) -------------------- Spaces (3) ------------------- Max] - - - - - - - - - - - - - - - - - - - - LCJ OTHERS ............................ L Y / NA / N / ~/ V / B / T ] __________________ _ Spaces (3) -------------------- MaxJ NOTE: LLJ Required Entry.