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For The Foll~wi~tg Entries, Circle The Appropriate Choice: = nspec a an oun to comp Lance, NA = lnspectton Topic not applicable, N Nit Inspected, R = Inspectea artd Comments noted, V =Inspectea and Violations (NOY1 or Cessation Order (CO1 issues, B = Inspected and both Comments noted 8 Violations or Cessation Urger 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 co mnent section. GENERAL INSPECTION TOPICS: CORDS........... L Y / NA /~/ R / V / B / T / S ] LCJ SIGNS AND MARKERS ................. L Y / NA / N / / V / B / T / S 7 LCJ ROADS ............................. L Y NA / N R/ V/ B/ T/ S] LCJ HYDROLOGIC BALANCE ................ L Y/ NA / N/ R Y/ B/ T/ S J LC1 BACKFILL 8 GRADING ................ L Y / NA / N / R / V / B / T / S ] LCJ EXPLOSIVES ........................ L Y/ N / N/ R/ V/ B/ T/ S J L~=J PROCESSING WASTES ................. L Y / NA / N / R / V / B / T / S J LCJ SUPPORT FACILITIES ................ L~Y / NA / N / R / V / B / T / S LCJ TOPSOIL ........................... L Y/ NA /~ R/ V/ B/ T/ S J LCJ GENERAL MINE PLAN COMPLIANCE...... LQY / NA / N / R / V / B / T / S J LCJ FISH 8 WILDLIFE ................... L Y / NA /~N / R / V / B / T / S ] LCJ REVEGETATION ...................... L Y/ NA ~/ R/ V/ B/ T/ S J LCJ AIR RESOURCE PROTECTION........... LQ/ NA / N / R / V / B / T / S J LCJ SLIDES 8 DAMAGE ................... L Y NA / N / R / V / B / T / 5 ] LCJ SUBSIDENCE ........................ L Y NA / N/ R/ V/ B/ T/ S J LCJ EXCESS SPOIL 8 DEVELOPMENT WASTE.. L Y / NA / N / R / V / B / T / S ] LCJ OFFSITE SUPPOR7 FACILITIES........ L Y/ A/ N/ R/ V/ B/ 7/ S J LCJ RECLAMATION SUCCESS ............... L Y / NA /~/ R / V / B / T / S ] LCJ SPECIAL CATEGORIES OF MINING...... L Y / NA / N / R / V / B / T / S J (1 ) L20 (2) -------------------- Spaces (3) -------------------- Max] - - - - - - - - - - - - - - - - - - - - LCJ OTHERS ............................ L Y NA / N / R / V / B / T ] (1) L20 (2) -------------------- Spaces (3) -------------------- MaxJ - - - - - - - - - - - - - - - - - - - - NOTE: LCJ = Required Entry.