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For The Foll~~~iitg Entries, Circle The Appropriate Choice: = nspec a an oun to comp Lance, NA = Inspection Topic not applicable, N = Nit Inspected, R =Inspected and Comments noted, Y = Inspected and Violations (NOV) or Cessation Order (CO) issues, 8 = Inspected and both Comments noted & Violations or Cessation Order issued, T = 10 Day Notice Issued by OSM Oversight Personnel, S =Sample taken and sent to the lab from analysis - describe type and location of sample taken under cortment section, GENERAL INSPECTION TOPICS: CORDS.........., L Y / NA / N / R / V / B / T / S ] LCJ SIGNS AND MARKERS ................. L Y / NA / N / R V / B / T / S ] LCJ ROADS ............................. L Y / NA / N /®/ V / B / i / S ] LCJ HYDROLOGIC BALANCE ................ L Y / NA / N ~ V / B / T / S ] LCJ BACKFILL 8 GRADING ................ L Y / NA / N / R / V / B / T / S J lCJ EXPLOSIVES ........................ L Y NA / N / R / V / B / T / S J Lr:] PROCESSING WASTES ................. L Y NA / N / R / Y / B / T / S J LCJ SUPPORT FACILITIES ................ L Y / NA / N /~/ V / B / T / S J LC] TOPSOIL ........................... L Y / NA / N / ~ V / B / 7 / S J LCJ GENERAL MINE PLAN COMPLIANCE...... l YQ/ NA / N / R / V / B / T / S ] lCJ FISH 8 WILDLIFE ................... L Y / NA / N /®/ Y / B / T / S ] LCJ REVEGETATION ...................... L Y / NA / N / R / Y / B / T / S J LCJ AIR RESOURCE PROTECTION........... L Q/ NA / N / R / V / B / 7 / S J LCJ SLIDES & DAMAGE ................... L YO/ NA / N / R / V / B / T / S ] LCJ SUBSIDENCE ........................ L Y / NA / N / R / V / B / T / S J LCJ EXCESS SPOIL 8 DEVELOPMENT WASTE.. L Y / NA / N / R / V / 8 / T / S ] LCJ OFFSITE SUPPORT FACILITIES........ L Y / NA / N / R / V / B / T / S ] LCJ RECLAMATION SUCCESS ............... L Y / ~/ N / R / V / B / T / S ] LCJ SPECIAL CATEGORIES OF MINING...... L Y / ~/ N / R / V / B / T / S ] (1) L20 l2) -------------------- Spaces (3) -------------------- Max] -------------------- LCJ OTHERS ............................ L Y / NA N / R / V / B / T ] (1) L20 (2) -------------------= Spaces (3) -------------------- MaxJ - - - - - - - - - - - - - - - - - - - - NOTE: LC] Required Entry.