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<br />For The Following Entries, Circle The Appropriate fhoice: <br />= nspec a an oun in Comp lance, <br />NA _ Inspection Topic not applicable, <br />N Nit Inspected, <br />R = Inspectea and Comments noted, <br />V =Inspectea ana Violations (NOV) or Cessation Order (C0) 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 ano location of sample taken under comment section. <br />GENERAL INSPECTION TOPICS: <br /> CORDS........... L Y /~/ N / R / Y / B / T / S J <br />lC] SIGNS AND MARKERS ................. L~/ NA / N / R / U / B / T / S 1 <br />LCJ ROADS L© / NA / N / R / Y / B / T / S J <br /> ............................. <br />LCJ HYDROLOGIC BALANCE ................ L Y / NA / N /®/ V / B / T / 5 J <br />LCJ BACKFILL $ GRADING ................ L A <br />~/ N <br />/ N / R / Y / B / T / S J <br /> / <br />~ <br />LCJ EXPLOSIVES ........................ L Y / 4111'/ N / R / V / B / T / S j <br />LCJ PROCESSING WASTES ................. L Y / ~ / N / R / V / B / T / S 1 <br />LCJ SUPPORT FACILITIES ................ L Y / ®/ N / R / V / B / 7 / S ] <br />LCJ TOPSOIL ........................... L Y / ®/ N / R / V / B / T / S l <br /> <br />LCJ GENERAL MINE PLAN COMPLIANCE...... l Y / NA / N / R / V / B / T / S J <br />LCJ FISH $ WILDLIFE ................... L ~/ NA / N / R / V / B / T / S J <br />LCJ REVEGETATION ...................... l Y / NA / N / ®/ V / B / T / S J <br />LCJ AIR RESOURCE PROTECTION........... L Y / IAA / N / R / V / B / T / S J <br />LC1 SLIDES $ DAMAGE ................... l Y / ®/ N / R / V / B / T / S <br />LCJ SUBSIDENCE ........................ L Y / ®/ N / R / Y / B / T / S J <br /> <br />LCJ EXCESS SPOIL $ DEYELOPMENT WASTE.. L Y / ~/ N / R / V / B / T / S ] <br />LC1 Of FSITE SUPPORT FACILITIES........ L Y / ~ / N / R / V / B / T / S <br />LC] RECLAMATION SUCCESS ............... L ~/ NA / N / R / V / B / T / S <br />LCJ SPECIAL CATEGORIES OF MINING...... L Y / l~ / N / R / V / B / T / S J <br />- 20 <br />(1 ) <br />(2) ------------------- <br />_______________ Spaces <br />(3) -------------------- MaxJ <br />Lr=J OTHERS ............................ L Y/ ®/ N/ R/ Y/ B/ T J <br />(1) _ - _ L20 <br />(2) -------------------- Spaces <br />- - - - - - - - - - - - - - - - - - - - MaxJ <br />(3) --------------- <br />NOTE: LCJ Required Entry. <br />