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For The Follo.,ing Entries, Circle The Appropriate Choice: <br />= n;pec 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 (NOY) or Cessation Order (CO) issued, <br />B = Inspected and both Comments noted 8 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/ ®/ N/ R/ V/ B/ T/ S] <br />LCJ SIGNS AND MARKERS ................. L~ / NA / N / R / V / B / T / S ] <br />LCJ ROADS ............................. L~/ NA / N / R / V / B / T / S ] <br />LCJ HYDROLOGIC BALANCE ................ L Y / NA / N /~ / V / B / T / S ] <br />lCJ BACKFILL 8 GRADING ................ L~j/ NA / N / R / V / B / T / S ] <br />lC] EXPLOSIVES ........................ L Y/ ~1 / N / R/ V / B / T / S J <br />Lr;J PROCESSING WASTES ................. L Y / ® / N / R / V / B / T / S J <br />LCJ SUPPORT FACILITIES ................ L Y / !~ / N / R / V / B / T / S ] <br />LCJ TOPSOIL ........................... L Y/ CNA, / N/ R/ V/ B/ T/ S J <br />LC1 GENERAL MINE PLAN COMPLIANCE...... L Y / ® / N / R / V / B / T / S ] <br />LCJ FISH 8 WILDLIFE ................... L Y / NA / NO / R / V / B / T / S ] <br />LCJ REVEGETATION ...................... L Y / NA / N / {~/ V / B / T / S ] <br />LCJ AIR RESOURCE PROTECTION........... L~/ NA / N / R / V / B / T / S ] <br />LCJ SLIDES 8 DAMAGE ................... L Y / ® / N / R / V / B / T / S ] <br />LC1 SUBSIDENCE ........................ L Y / N / N / R / V / B / T / S J <br />LCJ EXCESS SPOIL 8 DEVELOPMENT WASTE.. L Y / ~ / N / R / V / B / T / S ] <br />LCJ OFFSITE SUPPORT FACILITIES........ L Y / ~ / N / R / V / B / T / S ] <br />LCJ RECLAMATION SUCCESS ............... L Y / / N / R / V / B / T / S ] <br />LCJ SPECIAL CATEGORIES OF MINING...... L Y / A / N / R / V / B / T / S ] <br />(1) L20 <br />(2) -------------------- Spaces <br />(3) -------------------- Max] <br />- - - - - - - - - - - - - - - - - - - - <br />LCJ OTHERS ............................ L Y / I~ / N / R / V / B / T ] <br />(1) L20 <br />(2) -------------------- Spaces <br />(3) -------------------- Maxj <br />- - - - - - - - - - - - - - - - - - - - <br />NOTE: lCJ = Required Entry. <br />