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• <br />For The Following Entri <br />• <br />iate Choice: <br />r = inspecLea ana rouna in c InApriance, <br />NA = Inspection Topic not app~7table, <br />N =Not Inspected, ?~-` <br />R =Inspected and Commel~s.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 take7r'under comment section. <br />GENERAL INSPECTION TOPICS: <br />C AVAILABIL TY 0 R CORDS........... [ Y / NA / ®/'R / V / B / T / S ] <br />[C] SIGNS AND MARKERS ................. [ Y / NA / N /~/ V / B / T / S ] <br /> <br />(C] <br />ROADS ............................. <br />[ YG/ <br />NA <br />/ N A <br />/ R'/ <br />V <br />/ <br />B <br />/ <br />T <br />/ <br />S ] <br />[l;] HYDROLOGIC BALANCE ................ [ Y / NA / N / ®/ V / B / T / S ] <br />[C] BACKFILL & GRADING ................ [ Y / NA / N /~ V / B / T / S ] <br />[C] EXPLOSIVES ........................ [ Y / NA / N / R / V / B / T / S ] <br />[C] PROCESSING WASTES ................. [ Y / ®/ N / R / V / B / T / S ] <br />[C] SUPPORT FACILITIES ................ [ Y / ~/ N / R f V / B / T / S ] <br />[C] TOPSOIL ........................... [ Y / NA / N /~/ V / 8 / T / S ] <br />[C] GENERAL MINE PLAN COMPLIANCE...... [ YG/ NA / N / R / Y / B / T / S ] <br />[cJ FISH & WILDLIFE ................... [ l~/ NA / N '/ R / V / B / T / S ] <br />[C] REVEGETATION ...................... [ Y / NA / N /~/ V / B / T / 5 ] <br />[C] AIR RESOURCE PROTECTION........... [ Y / ® / N / R / V / E / T / S ] <br />[C] SLIDES & DAMAGE ................... [ Y / NA / N /®/ V / B / T / S ] <br />[C] SUBSIDEPICE ........................ [ Y / NA / NO/~/ V / B / T / S ] <br />[C] EXCESS SPOIL & DEVELOPMENT WASTE.. [ V~/ NA / N / R / V ! B / T / S ] <br />[C] OFFSITE SUPPORT FACILITIES........ [ Y / ~/ N / R / V / B / T / S ] <br />[C] RECLAMATION SUCCESS ............... [ Y / NA / N / A~/ V / B / T / S ] <br />[C] SPECIAL CATEGORIES OF MINING...... [ Y / ~/ N / R / V / B / T / S ] <br />(1) -------------------- [20 <br />(2) -------------------- Spaces <br />(3) -------------------- Max] <br />[C] OTHERS ............................ [ Y / NA / N / R / V / B / T ] <br />(1) - - - - - - - - - - - - - - - - - - - - <br />(3) - - - - - - - - - - - - - - - - - - - - <br />NOTE: [C] = Required Entry. <br />[20 <br />Spaces <br />Max] <br />.~ <br />e~ <br />+f <br />S"z~ ... i. .a.+i.. ,y:. ~ ~J.. rr y~e~hs!>~ ~"y""'~Ft", IX~ ; ~ ...wb,SM~C` <br />