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• <br />For The Following Entries, Circle The Approrpiate Choice: <br />Y = Inspecte an foun in comp lance, <br />NA = Inspection Topic not applicable, <br />tJ =Not Inspected, <br />R =Inspected and Commen oted, <br />V = Inspected and Viol s (NOV) or Cessation Order (CO) issued, <br />B =Inspected and bot omments 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 / N / R / V / B / T / S ] <br />[C] SIGNS AND MARKERS ................, [ Y / NA, / N / R / V / B / T / S ] <br />[C] ROADS ............................. [ Y /~/ N / R / V / B / T / S ] <br />[C] HYDROLOGIC BALANCE ................ [ Y / NA / N ~ / V / B / T / S ] <br />[C] BACKFILL & GRADING ................ [ Y / NA / N R, / V / B / T / S ] <br />[C] EXPLOSIVES ........................ [ Y / NA / N / R / V / B / T / S ] <br />[C] PROCESSING WASTES ................. [ Y / N / N / R / V / B / T / S ] <br />[C] SUPPORT FACILITIES ................ [ Y /(NA / N / R / V / B / T / S ] <br />[C] TOPSOIL ........................... [ Y A / N / R / V / B / T / S ] <br />(C] GENERAL MINE PLAN COMPLIANCE...... ( Y NA / N / R / V / B / T / S ] <br />[C] FISH & WILDLIFE ................... [ Y / NA / N / R / V / B / T / S ] <br />[C] REVEGETATION ...................... [ Y / NA / N / R / V / B / T / S ] <br />[C] AIR RESOURCE PROTECTION........... [ Y NA / N / R / V / B / T / S ] <br />[C] SLIDES & DAMAGE ................... [ Y / A / N / R / V / B / T / S ] <br />[CJ SUB Si DENCE ........................ [ Y / NA N / R / V / B / T / S ] <br />[C] EXCESS SPOIL & DEVELOPMENT WASTE.. [ Y / NA / N / R / V / B / T / S ] <br />[C] OFFSITE SUPPORT FACILITIES........ [ Y N / N / R / V / B / T / S ] <br />[C] RECLAMATION SUCCESS ............... [ Y /" NA / N / R / V / E / T / S ] <br />[C] SPECIAL CATEGORIES OF MINING...... [ Y / A N / R / V / B / T / S ] <br />(1) -------------------- [20 <br />(2)-------------------- Spaces <br />(3) -------------------- Max] <br />[C] OTHERS ............................ [ Y / NA / N / R / V / B / T ] <br />(1) -------------------- [20 <br />(2) -------------------- Spaces <br />Max] <br />(3) - - - - - - - - - - - - - - - - - - - - <br />NOTE: [C] = Required Entry. <br />