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<br />For The Following Entries, Circle The Approrpiate Choice: <br />Y = Inspecte ad- n~{oun in comp lance, <br />NA = Inspection Topic not applicable, <br />N =Not Inspected, <br />R =Inspected and.Cpmments noted, ~~*~ <br />V = Inspected and=d'iolations (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 />jCf AVAILABILITY OF RECORDS........... [ Y / NA /~/ R / V / B / T / S ] <br />[C] SIGNS AND MARKERS ................. [ Y / NA /CN;Y R / V / B / T / S ] <br />[C] ROADS ............................. [~/ NA / N / R / V / B / T / S ] <br />[C] HYDROLOGIC BALANCE ................ [ Y / NA / N /~R / V / B / T / S ] <br />[C] BACKFILL & GRADING ................ [ Y / NA J N 1~,1 V / B / T j S ] <br />[C] EXPLOSIVES ........................ [ Y / 14'/ N / R / V / B / T / S ] <br />[C] PROCESSING WASTES ................. [ Y /CNN / N / R / V / 8 / T / S ] <br />[C] SUPPORT FACILITIES ................ [ Y / NA / N / R / V / B / T / S ] <br />[C] TOPSOIL ........................... [~j/ NA / N / R / V / B / T / S ] <br />[C] GENERAL MINE PLAN COMPLIANCE....... [~~ / NA / N / R / V / B / T / S ] <br />[C] FISH & WILDLIFE ................... [ Y / NA /GD/ R / V / B / T / S ] <br />[C] REVEGETATION ....................... [ Y / NA / N / ~/ V / B / T / S ] <br />[C] AIR RESOURCE PROTECTION........... [ Y / NA /LL'V/ R / V / B / T / S ] <br />[C] SLIDES & DAMAGE ................... [ Y / NA /( ~ R / V / B / T / S ] <br />[C] SUBSIDENCE ........................ [ Y /~IJ7Cj/ N / R / V / B / T / S ] <br />[C] EXCESS SPOIL & DEVELOPMENT WASTE.,. [ Y / NA / ~I~/ R / V / B / T / S ] <br />[C] OFFSITE SUPPORT FACILITIES........ [ Y / IAj/ N / R / V / B / T / S ] <br />[C] RECLAMATION SUCCESS ............... [ Y / NA / N /~/ V / B / T / S ] <br />[C] SPECIAL CATE60RIES OF MINING...... [ Y / (~{A~/ 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 />- [20 <br />Spaces <br />(3) -------------------- Max] <br />- - - - - - - - - - - - - - - - - - - - <br />NOTE: [C] = Required Entry. <br />