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<br />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 />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 comment section. <br />GENERAL INSPECTION TOPICS: <br /> CORDS........... L Y / NA /~1 / R / V / B / T / S ] <br />LC] SIGNS AND MARKERS ................. L(~ / NA / N / R / Y / B / T / S ] <br />LCJ ROADS L ®/ NA / N / R / V / B / T / S J <br /> ............................. <br />LCJ HYDROLOGIC BALANCE ................ L Y / NA / N /(~/ V / B / T / S ] <br />LCJ BACKFILL & GRADING ................ L Y / NA / N / ($7/ V / B / T / S ] <br />LCJ EXPLOSIVES ........................ L Y / ®/ N / R / V / B / T / S ] <br />L~=J PROCESSING WASTES ................. L Y / NA /~ R / V / B / T / S J <br />LCJ SUPPORT FACILITIES ................ L Y / ~/ N / R / V / B / T / S ] <br />LC] TOPSOIL L Y / NA / ©/ R / V / B / T / S J <br /> ........................... <br />LC1 GENERAL MINE PLAN COMPLIANCE...... L Q~ NA / N / R / V / B / T / S J <br />LCJ FISH & WILDLIFE ................... L Y / NA / ~ R / V / B / T / S ] <br />LCJ REYEGETATION ...................... L Y / NA / N /® / V / B / 7 / S ] <br />LC] AIR RESOURCE PROTECTION........... L Y / NA / ©/ R / V / B / T / S J <br />LCJ SLIDES & DAMAGE ................... L Y / NA / 1~/ R / V / 8 / T / S ] <br />LCJ SUBSIDENCE ........................ L Y / NA /®/ R / V / B / T / S J <br />LCJ EXCESS SPOIL & DEVELOPMENT WASTE.. L Y / NA / N / Q / V / B / T / S J <br />LCJ OFFSITE SUPPORT FACILIIIES........ L Y / ~ / N / R / V / B / T / S ] <br />LCJ RECLAMATION SUCCESS ............... L Y / ~ / N / R <br />d / V / B / T / S ] <br />LCJ SPECIAL CATEGORIES OF MINING...... L Y / / <br />N~R / N / R / V / B / T / S J <br />(1) L20 <br />(2) -------------------- Spaces <br />(3) -------------------- Max] <br />- - - - - - - - - - - - - - - - - - - - <br />LCJ OTHERS ............................ L Y / ~ / N / R / Y / B / 7 ] <br />(1) L20 <br />(2) -------------------- Spaces <br />(3) -------------------- MaxJ <br />- - - - - - - - - - - - - - - - - - - - <br />NOTE: LCJ = Required Entry. <br />- ~~~/9~ <br />