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For the Foll~~~ing Entries, Circle The Appropriate Choice: = nspe.: e an oun ~n co•np lance, NA = Inspection Topic not applicably, N Nit Inspected, R =Inspected and Comments noted, Y Inspected and Violations (NOV) or Cessation Order (CO) issues, B = Inspected and both Comments noted 8 Violations or Cessation Grder 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 coatnent section. GENERAL INSPECTION TOPICS: CORDS........... L Y / ~A / N / R/ Y / B / T / S LCJ SIGNS AND MARKERS ................. L Y / ®/ N / R / V / 8 / T / S J LCJ ROADS ............................. L Y / NA / N / ®/ V / B / T / S J LCJ HYDROLOGIC BALANCE ................ L Y / NA / N /®/ V / B / T / S LCj BACKFILL 8 GRADING ................ L ~/ NA / N / R / V / B / T / S 1 1CJ EXPLOSIVES ........................ L Y/ ®/ N/ R/ V/ 8/ T/ 5 J Li;J PROCESSING WASTES ................. L Y / ®/ N / R / V / B / T / S LCJ SUPPORT FACILITIES ................ L Y/ ®/ N/ R/ Y/ B/ T/ S J LCJ TOPSOIL ........................... L YQ/ NA / N / R / V / B / T / S 1 LCJ GENERAL MINE PLAN COMPLIANCE...... L 1' /(~/ N / R / V / B / T / S J LCJ FISH 8 WILDLIFE ................... L ®/ NA / N / R / V / B / T / S 1 LCJ REVEGETATION ...................... l Y/ NA / N /®/ Y / B / T / S 7 LCJ AIR RESOURCE PROTECTION........... L ©/ NA / N / R / V / B / T / S lCJ SLIDES 8 DAMAGE ................... L(>'~/ NA / N / R / V / B / T / S J LCJ SUBSIDENCE ........................ L Y/ ®/ N / R / V / B / T / S J LCJ EXCESS SPOIL 8 DEVELOPMENT NASTE.. L Y / ® / N / R / Y / B / T / S ] LCJ OFFSITE SUPPORT FACILITIES........ L Y / ®/ N / R / V / B / T / S LCJ RECLAMATION SUCCESS ............... L ©/ NA / N / R / V / B / T / S LCJ SPECIAL CATEGORIES OF MINING...... L Y /® / N / R / V / B / T / S J I1) ------------------- L20 (2) - Spaces (3) -------------------- MaxJ -------------------- LCJ OTHERS ............................ L Y/ NA / N/®/ V/ B/ T J (2) ~g~~-J~~~o RZ--------= LSpaces (3) -------------------- MaxJ - - - - - - - - - - - - - - - - - - - - NOTE: LCJ = Required Entry.