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<br />I <br />~~ <br />t. . <br /> <br />4 <br />6. <br /> <br />w <br />.._ ,...: <br />For The Followin Entries Circle `ror sate Choice: <br />= nspec a an .;ou in ante, <br />NA = Inspection To" riot cable, <br />N =Not Inspected, <br />R = Inspected and Co ~ta noted,,` <br />V = Inspected and Yio ,"ions (N6V) or Cessation Order (CO) issue <br />B ='Inspected and both Comments no.tred b Violations or Cessation <br />Order issyed, <br />T = 10 Day Not~•- Issued by OSM O~sight Personnel, <br />S =Sample take' sent to the'3from analysis - describe <br />~t.... <br />type and loco of samp, " aken under comment section. <br />GENERAL INSPECTION TOPICS: - <br />C AVA IL Y LORDS........... [ Y / NA /~j R % V / 8 / T /,S ] <br />[C] SIGNS AND MARKERS ................. [~/ NA / N`I A"'/ V / B / T / S ] <br />~l:] ROADS ............................. [ Y / NA % N %~/ V / B / T / S ] <br />[l:] HYDROLOGIC BALANCE ................ [ Y / NA./'N /~ "V / B /'T / $ ] <br />[C] BACKFILL b GRADING ................ [ Y ! NA /~/ R ! V / B / j / $ ] <br />[(:] EXPLOSIVES ........................ [ Y / NA /~/ R / V / B / T.~~-~`S ] <br />[C] PROCESSING WA$TES............ Y NA / N / R / V / B / ]K~ <br />..... a <br />[C] SUPPORT FACILITIES ................ Y / NA / N / R / V / B / T .: ] <br />[C] TOPSOIL ........................... [``~~Y / NA /~/ R / V"./ B / T / S ] <br />[C] GENERAL MINE PLAN COMPLIANCE...... U~/ NA / N / R / V~/ 8 / T / S ] <br />(L] FISH b WILDLIFE .................:. [ Y / NA / N / R / V / B / T / S ] <br />[C] REVEGETATION ...................... [ Y / NA / N R / V / 8 / T / S ] <br />[C] AIR RESOURCE PROTECTION........... [ Y / NA / N /..R~, / V / E / 7 / 5 ] <br />[C] SLIDES b DAMAGE ................... [ Y / NA / / R / V / B / T / S ] <br />[C] SUBSIDENCE ........................ [ Y / NA / / R / V / B / T / S ] <br />[C] ExCESS SPOIL b DEVELOPMENT WASTE.. ~/ NA / N / R / V ! B / T / S ] <br />(CJ OFFSITE SUPPORT FACILITIES........ Y / NA / N /.R / V / B / T / S ) <br />[C] RECLAMATION SUCCESS ............... [ Y / NA /~/ R / V / B / T / S ] <br />[L] SPECIAL CATEGORIES OF MINING...... [ Y /(~ / N -%;:R / V / B / T / S )" ':" <br />(1) - ----------- [20 <br />(2) -------------------- Spaces <br />(3) -------------------- Max] <br />[C] OTHERS ............................ [ Y ~ / N / R / V / B / T ] <br />(1) ---------- --- [20 <br />(2) -------------- ---- Spaces <br />(3) -------------------- Max] <br />NOTE: [C] = Required Entry. <br />'a. <br />:,,,.:: <br />«_• <br />r <br />