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For The Following Entries, Circle The Appropriate Choice: <br />= nspec a ari oun in comp lance, <br />NA = Inspection Topic not applicable, <br />N = Nit Inspected, <br />R =Inspected and Comments noted, <br />Y =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 cortment section, <br />GENERAL INSPECTION TOPICS: <br /> CORDS........... L Y / NA / N /~/ V / B / T / S ] <br />LCJ SIGNS AND MARKERS ................. L Y / NA / N / / Y / B / T / S ] <br /> <br />LCJ ROADS ............................. L Y / NA / N / ~ / V / B / T / 5 J <br />LCJ HYDROLOGIC BALANCE ................ L Y / NA / N / ~/ V / B / T / S ] <br /> <br />LCJ BACKFILL & GRADING ................ L ~/ NA / N / R / V / B / T / S ] <br /> <br />LCJ EXPLOSIVES ........................ l ~/ NA I N / R / V / B / T / S ] <br />LCJ PROCESSING WASTES ................. L Y / ~ / N / R / V / B / T / S J <br />LCJ SUPPORT FACILITIES ................ L Y / NA / N / / V / B / T / S ] <br />LCJ TOPSOIL ........................... L Y / NA / N / R / V / B / T / S ] <br />LCj GENERAL MINE PLAN COMPLIANCE...... L Y / NA / N / R / V / B / T / S ] <br /> <br />LCJ FISH & WILDLIFE ................... L ~ NA / N / R / V / B / T / S ] <br />LCJ REVEGETATION ...................... L Y / NA / N / ®/ V / B / T / S J <br />LCJ AIR RESOURCE PROTECTION........... L Q/ NA / N / R / V / B / T / S J <br />LCJ SLIDES 8 DAMAGE ................... L ©/ NA / N / R / V / B / T / S J <br />LCJ SUBSIDENCE ........................ l~/ NA / N / R / V / B / T / S J <br />LCJ EXCESS SPOIL & DEVELOPMENT WASTE.. l Y / NA / N / ~ / V / B / T / S J <br />LCJ OFFSITE SUPPORT FACILITIES........ L Y / NA / N / R / Y / B / T / S ] <br /> <br />LCJ RECLAMATION SUCCESS ............... l ~/ NA / N / R / V / B / T / S ] <br />LCJ SPECIAL CATEGORIES OF MINING...... L Y / lA / N / R / Y / B / T / S ] <br />(1) L20 <br />(2) Spaces <br />(3) -----'-------------- Max] <br />- - - - - - - - - - - - - - - - - - - - <br />LCJ OTHERS ............................ L Y/ NA / N/ R/ V/ B/ T J <br />(1 ) L20 <br />(2) -------------------- Spaces <br />(3) -------------------- MaxJ <br />NOTE: LCJ = Required Entry. <br /> <br />