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t <br />•° G~~3 <br />.3f~~9/ <br />For The Following Entries, Circle The Approrpiate Choice: <br />Y = lnspected and found in comp~ce, <br />NA = Inspection Topic not applicable, <br />N =Not Inspected, <br />R = Inspected and Comments noted, <br />V =lnspected 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 />C AVAILABILITY OF RECORDS........... [ Y / NA ~/ R / V / B / T / S ] <br />[C] SIGNS AND MARKERS ................. ~Y / NA / N / R / V / B / T / S ] <br />[C] ROADS ............................. [~Y / NA / N / R / V / B / T / S ] <br />[C] HYDROLOGIC BALANCE ................ [ Y / NA / N /~/ V / B / T / S ] <br />[C] BACKFILL & GRADING ................ [ Y /~ / N / R / V / B / T / S ] <br />[C] EXPLOSIVES ........................ [ Y / NA / N ,~/ V / B / T / S ] <br />[C] PROCESSING WASTES ................. [ Y / NA ® / R / V / B / T / S ] <br /> <br />[C] SUPPORT FACILITIES ................ [~Y / NA / N / R / V / B / T / S ] <br /> <br />[C] TOPSOIL ........................... [ Y / NA ~ / R / V / B / T / S ] <br />[C] GENERAL MINE PLAN COMPLIANCE...... [~/ NA / N / R / V / B / T / S ] <br />[C] FISH & WILDLIFE ................... (~/ NA / N / R / V / B / T / S ] <br />[C] REVEGETATION ...................... [ Y / NA / N / R / V / B / T / S ] <br /> ~ <br />[C] AIR RESOURCE PROTECTION........... Y / NA / N / R / V / B / T / S ] <br />[C] SLIDES & DAMAGE ................... [ Y / NA / N / R / V / B / T / S ] <br />[C] SUB Si DENCE ........................ [ Y / NA ~/ R / V / B / T / S ] <br />[C] EXCESS SPOIL & DEVELOPMENT WASTE.. [ Y /~ / N / R / V / B / T / S ] <br />[C] OFFSITE SUPPORT FACILITIES........ [ Y / N / N / R / V / B / T / S ] <br />[C] RECLAMATION SUCCESS ............... [ Y / / N / R / V / B / T / S J <br />[C] SPECIAL CATEGORIES OF MINING...... [ Y / !r / N / R / V / B / T / S ] <br />(1) -------------------- [20 <br />(2) _ Spaces <br />- - - - - - - - - - - - - - - - - - - <br />(3) -------------------- Max <br />[C] OTHERS ............................ [ Y /~/ N / R / V / B / T ] <br />20 <br />(1) - - - - - - - - - - - - <br />- - - - - - - - <br />Spaces <br />(2) - - - - - - - - - - - - - - - - - - - - <br />------- ttax] <br />(3j ------------- <br />NOTE: [C] = Required Entry. ~~ <br />3 ~~'~~ <br />.~. <br />