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<br /> <br />For The Following Entries, Cir<:le The Approrpiate Choice: <br />= nspecte an ou~in c~iance, <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 / N / R / V / B / T / S ] <br />[C] SIGNS AND MARKERS ................. [ Y.;/ NA / N / R / V / B / T / S ] <br />[C] ROADS ............................. [(Y~~/ NA / N / R / V / B / T / S ] <br />[C] HYDROLOGIC BALANCE ................ [ Y / NA / N / R / V / B / T / S ] <br />[C] BACKFILL & GRADING ................ [;Y'/ NA / N / R / V / B / T / S ] <br />[C] EXPLOSIVES ........................ [ Y / !N~ / N / R / V / B / T / S ] <br />[C] PROCESSING WASTES ................. [ Y /; NAI / 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 / U / B / T / S ] <br />[C] GENERAL MINE PLAN COMPLIANCE...... [rY,/ 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 ................... [rYj/ NA / N / R / V / B / T / S ] <br />[C] SUBSIDENCE ........................ [ Y /(~ / N / R / V / B / T / S ] <br />[C] EXCESS SPOIL & DEVELOPMENT WASTE.. [ Y /~KIAi/ N / R / V / B / T / S ] <br />[C] OFFSITE SUPPORT FACILITIES........ [(Y~~/ NA / N / R / V / B / T / S ] <br />[C] RECLAMATION SUCCESS ............... [~Y;/ NA / 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 /~N~ / N / R / V / B / T ] <br />(1) -------------------- [20 <br />Spaces <br />~3~ -------------------- Max] <br />- - - - - - - - - - - - - - - - - - - - <br />NOTE: [C] = Required Entry. <br />