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For The Foll~.~iitg Entries, Circle The Appropriate Choice: = nspeC e an oun in comp tdn CE, NA = Inspection Topic not applicable, N = Nit Inspected, R =Inspected and Comments noted, V = Inspected and Violations (NOV) or Cessation Order (CO) issued, B = Inspected and both Comments noted 8 Violations or Cessation Order issued, T 10 Day Notice Issued by OSM Oversight Personnel, 5 =Sample taken and sent to the lab from analysis - describe type and location of :,ample taken under co mnent section, GENERAL INSPECTION TOPICS: CORDS........... L Y/ NA / N /®/ V / B / T / S LCJ SIGNS AND MARKERS ................. LCD / NA / N / R / V / B / T / $ J LCJ ROADS ............................. L Y/ NA / N / Q/ V / B / T / S J LCJ HYDROLOGIC BALANCE,,,,,,,,,,,,,,,, L Y / NA / N /~? / 4 / 8 / T / S I LCJ BACKFILL & GRADING ................ LCD/ NA / N / R / Y / B / T / S J LCJ EXPLOSIVES ........................ L Y/~/ N / R / Y / 8 / T / S J L~=J PROCESSING WASTES ................. L Y / ~ / N / R / Y / B / T / S j LCJ SUPPORT FACILITIES ................ L Y / ~ / N / R / V / B / T / S J LCJ TOPSOIL ........................... L (Y7 / NA / N / R / V / B / T / S J LCJ GENERAL MINE PLAN COMPLIANCE,,,,,, LCD / NA / N / R / V / B / T / S J LCJ FISH 8 WILDLIFE ................... LCD / NA / N / R / V / B / T / S 1 LCJ REVEGETATION ...................... LCY~ / NA / N / R / V / B / T / S J LC1 AIR RESOURCE PROTECTION........... L Y / I~ / N / R / Y / B / 7 / S LCJ SLIDES 8 DAMAGE ................... L Y /l~ / N/ R/ V/ B/ T/ S l LCJ SUBSIDENCE ........................ L n7 / NA / N / R / V / B / T / S J lCJ EXCESS SPOIL & DEVELOPMENT WASTE.. L Y / ~ / N / R / V / B / T / S ] LCJ OFFSITE SUPPORT FACILITIES........ L Y /(N~, / N / R / V / B / T / S LCJ RECLAMATION SUCCESS ............... LCD / NA / N / R / V / B / T / S lCJ SPECIAL CATEGORIES OF MINING...... L Y / ~A / N / R / Y / B / T / S (1) L20 l2) -------------------- Spaces (3) -------------------- Max] - - - - - - - - - - - - - - - - - - - - LCJ OTHERS ............................ L Y / ~1 / N / R / V / B / T ] (1) L20 -------------------=- (2) Spaces (3) -------------------- MaxJ - - - - - - - - - - - - - - - - - - - - NOTE: LCJ =Required Entry.