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For The Following Entries, Circle The Approrpiate Choice: <br />Y = Inspected and fob-in com~iance, <br />NA = Inspection Topic not applicable, <br />N =Not Inspected, <br />R = Inspected and Comments noted, <br />V = Inspected and Violations (NOV) or Cessation Order (CO) issued, <br />B = Inspected and both Comments noted b 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........... [~/ NA / N / R / V / B / T / S ] <br />[C] SIGNS AND MARKERS ................. r YJ/ NA / N / R / V / B / T / S ] <br />[C] ROADS ............................. [ Y / NA / N /® / V / B / T / S ] <br />[C] HYDROLOGIC BALANCE ................ [ Y / NA / N /~/ V / B / T / 5 ] <br />[C] BACKFILL b GRADING ................ [ Y NA / N / R / V / B / T / S ] <br />[C] EXPLOSIVES ........................ [ Y / NA ~/ N / R / V / B / T / S ] <br />[C] PROCESSING WASTES ................. [~/ NA / N / R / V / B / T / S ] <br />[C] SUPPORT FACILITIES ................ [ Y / NA / N / RO/ V / B / T / S ] <br /> <br />[C] TOPSOIL ........................... [ Y~ NA / N / R" / V / 8 / T / S ] <br />[C] GENERAL MINE PLAN COMPLIANCE...... [ Y / NA / N /~/ V / B / T / S ] <br />[C] FISH b WILDLIFE ................... [~ NA / N / R / V / B / T / S ] <br />[C] RE VEGETATION ...................... [ Y / NA / N / R / V / B / T / S ] <br />[C] AIR RESOURCE PROTECTION........... Y NA / N / R / V / B / T / S ] <br />[C] SLIDES b DAMAGE ................... Y'/ NA / N / R / V / B / T / S ] <br />[C] SUBSIDENCE ........................ Y NA / N / R / V / B / T / S ] <br />[C] EXCESS SPOIL b DEVELOPMENT WASTE.. [ Y / NA / N ~/ V / B / T / S ] <br />[C] OFFSITE SUPPORT FACILITIES........ [ Y / NA / N R / V / B / T / S ] <br />[C] RECLAMATION SUCCESS ............... [~/ NA / N / R / V / B / T / S ] <br />[C] SPECIAL CATEGORIES OF MINING...... [ Y / NA / 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 />2 <br />0 <br />1) - - - - - - - - - - - - - - - - - - - - <br />2) --------------------- Spaces <br />Max] <br />3) <br />- - - - - - - - - - - - - - - - - - - - <br />NOTE: [C] = Required Entry. <br />