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<br />For The Following Entries, Circle The Approrpiate Choice: <br />= nspecte an oun~in c- o~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 & 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 ............................. [ NJ/ NA / N / R / V / B / T / S ] <br />[C] HYDROLOGIC BALANCE ................ [ h % NA / N / R / V / B / T / S ] <br />[C] BACKFILL & GRADING ................ [.1' / NA / N / R / V / B / T / S ] <br />[C] EXPLOSIVES ........................ [ Y / tf~A)/ N / R / V / B / T / S ] <br />[C] PROCESSING WASTES ................. [ Y / NBA. ;'/ N / R / V / B / T / S ] <br />[C] SUPPORT FACILITIES ................ [ ~Y~/ NA / N / R / V / B / T / S ] <br />[C] TOPSOIL ........................... [ Y,.% NA / N / R / V / B / T / S ] <br />[C] GENERAL MINE PLAN COMPLIANCE...... [ ~ NA / N / R / V / B / T / S ] <br /> <br />[C] <br />FISH ~ WILDLIFE ................... --, <br />[.Y ,1 <br />NA <br />/ <br />N <br />/ <br />R <br />/ <br />V <br />/ <br />B <br />/ <br />T <br />/ <br />S <br />] <br />[C] REVEGETATION ...................... [ L,% NA / N / R / V / B / T / S ] <br />[C] AIR RESOURCE PROTECTION........... [~Y.,/ NA / N / R / V / B / T / S ] <br />[C] SLIDES & DAMAGE ................... [~.,~ NA / N / R / V / B / T / S ] <br /> <br />[C] <br />SUBSIDENCE ........................ ~. <br />[(Y ./ <br />NA <br />/ <br />N <br />/ <br />R <br />/ <br />V <br />/ <br />B <br />/ <br />T <br />/ <br />S <br />] <br />[C] EXCESS SPOIL & DEVELOPMENT WASTE.. [~~~/ NA / N / R / V / B / T / S ] <br />[C] OFF SITE SUPPORT FACILITIES........ [i`Y~/ NA / N / R l V / B / T / S ] <br />[C] RECLAMATION SUCCESS ............... [~~/ NA / N / R / V / B / T / S ] <br />[C] SPECIAL CATEGORIES OF MINING...... [ Y /~A ~/ N / R / V / B / T / S ] <br />(1) [20 <br />- - - - - - - - - - - - - - - - - - - - <br />(2) -------------------- Spaces <br />(3) -------------------- Max] <br />[C] OTHERS ............................ [ Y /~)/ N / R / V / B / T ] <br />(1) [20 <br />- - - - - - - - - - - - - - - - - - - - <br />~3~ -------------------- SpaMax] <br />- - - - - - - - - - - - - - - - - - - - <br />NOTE: [C] = Required Entry. <br />/ ~~ <br />