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For The Following Entries, Circle The Appropriate Choice: <br />= nspec a an oun 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 />CORDS........... L Y / NA /®/ R / Y / B / T / S ] <br />LCJ SIGNS AND MARKERS ................. L Y / NA /®/ R / Y / B / T / S J <br />LCJ ROADS ............................. L ~I NA I N / R / V / B / T / S ] <br />LCJ HYDROLOGIC BALANCE ................ l f~' / NA / N / R / V / B / T / S ] <br />LC] BACKFILL & GRADING ................ L CJ/ NA / N / R ! V 1 B ! T / S ] <br />LCJ EXPLOSIVES ........................ L Y / NA / Q / R / V / B / T / S ] <br />LCJ PROCESSING WASTES ................. L Y / N® /~/ R / V / B / T / S J <br />LCJ SUPPORT FACILITIES ................ L ©/ NA / N / R / Y / B / T / S ] <br />LC] TOPSOIL ........................... L Y / NA / N / ~ / V / B / T / S J <br />LCJ GENERAL MINE PLAN COMPLIANCE..,... L~>/ NA / N / R / V / B / T / S ] <br />LCJ FISH & WILDLIFE ................... L Y / NA /(~ / R / V / B / T / S ] <br />LCJ REVEGETATION ...................... L Y / NA JCjN / R I V / B / T / S ] <br />LCJ AIR RESOURCE PROTECTION........... L Y / NA /G / R / V / B / T / S ] <br />LCJ SLIDES & DAMAGE ................... L Y / ®! N / R / V ! B ! T / S ] <br />LCJ SUBSIDENCE ........................ L Y /~NB+/ N/ R / Y / B / T / S ] <br />LCJ EXCESS SPOIL & DEVELOPMENT WASTE.. Lam/ NA / N / R / V / 8 / T / S ] <br />LCJ OFFSITE SUPPORT FACILITIES........ L Y / dl / N / R / V / B / T / S ] <br />LCJ RECLAMATION SUCCESS ............... L(~J / NA / N / R / V / B / T / S ] <br />LCJ SPECIAL CATEGORIES OF MINING...... L Y /~ / N / R / V / B / T / S ] <br />(1) L20 <br />- - - - - - - - - - - - - - - - - - - <br />(2) - Spaces <br />(3) -------------------- Max] <br />- - - - - - - - - - - - - - - - - - - - <br />LCJ OTHERS ............................ L Y ! ®/ N / R / Y / B / T ] <br />(1) L20 <br />(2) -------------------- Spaces <br />(3) -------------------- Max] <br />- - - - - - - - - - - - - - - - - - - - <br />NOTE: LCJ = Required Entry. <br />