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. L..V <br />1 <br />s <br />For The Following Entries. Circle The Approrpiate Choice: <br /> Y = lnspectetl antl fountl in compliance, ;,. <br /> NA = Inspection To <br />pi~c` no t;;app'licable, 1 <br /> , <br />N =Not Inspected;. `'='~ <br /> R = Inspected and Co nts noted, <br /> V = Inspected and Vio a tions (NOV) or Cessation Or de r (CO) issue <br /> B = Inspected and both Comments noted & Violations o r Cessation <br /> Order issued, <br /> T = 10 Day Notice Issue d by OSM Oversi ght Personnel, <br /> S =Sample taken and se nt to the lab f rom analysis - describe <br /> type and location o f same+l'e taken under comment s ection. <br /> <br />GENERAL INSPECTION TOPICS: <br /> AVAILABILITY 0 RECORDS........... [ / NA / N / R / V / B / T / S ] <br />[C] SIGNS AND MARKERS ................. [ / NA / N / R / V / B / T ! S ] <br />~~.] ROADS ............................. [ Y / NA / N /C~ / V / B / T / S ] <br />[~] HYDROLOGIC BALANCE ................ [ Y / NA J N l® l V I B I T / S ] <br />[~] BACKFILL & GRADING ..............$. [ Y / ~/ N / R / V / B / T / S ] <br />[(:] , <br />EXPLOSIVES .......................:'~[ Y / I~ / N / R / V / B / T / S ] <br />[C] PROCESSING WASTES ................. [ Y / ~ 1 N / R / U J B / T / S ] <br />[C] SUPPORT FACILITIES ................ [ Y / ~ / N / R / V / B / T / S ] <br />[C] TOPSOIL ........................... [ Q / NA / N / R / V / B / T / S ] <br />[C] GENERAL MINE PLAN COMPLIANCE...... [~~~NA / N / R / V / B / T / S ] <br />[LJ FISH & WILDLIFE ................... [ (f / NA / N / R / V / B / T / S ] <br />[C] REVEGETATION ...................... [ Y / NA / N I® I V / B I T / S ] <br />[C] AIR RESOURCE PROTECTION........... [ Y / I~A / N / R / V / B / T / S ] <br />[C] SLIDES & DAMAGE ................... [~ NA / N / R / V / B / T / S ] <br />[C] SUBSIDENCE ........................ [ Y/ ®/ N 1 R J V ! B ! T / S] <br />[C] EXCESS SPOIL & DEVELOPMENT WASTE.. [ Y / ~ / N / R / V / B / T / S ] <br />[C] OFFSITE SUPPORT FACILITIES........ [ Y / / N / R / V / B / T / S ] <br />[C] RECLAMATION SUCCESS ............... [©/ NA / N / R / V / B / T / S ] <br />[C] SPECIAL CATEGORIES OF MINING...... [ Y / ~ / N / R / V / 8 / T / S ] <br />(1) -------------------- [20 <br />(2) ----------- Spaces <br />(3) -------------------- Max] <br />[C] OTHERS ............................ [ Y /~/ N / R / V / B / T ] <br />(1) - - - - - - - - - - - - - - - - - - - - <br />(3) - - - - - - - - - - - - - - - - - - - - <br />NOTE: [C] =Required Entry. <br />[20 <br />Spaces <br />Max] <br />;,~,. <br />..} <br />