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For The Foll~~,ing Entries, Circle The Appropriate Choice: = nspec a an oun in comp lance, NA = Inspection Topic not applicable, N Not Inspected, R = Inspectea and Comments noted, Y =Inspectea ana Violations (NOY) or Cessation Order (COl issues, B = Inspected and both Comments noted 8 Violations or Cessation Order issued, T = 10 Day Notice Issues by OSM Oversight Personnel, S =Sample taken and sent to the lab from analysis - describe type ana location of sample taken under comment section. GENERAL INSPECTION TOPICS: CORDS........... L ©/ NA / N / R / V / B / T / S LCJ SIGNS AND MARKERS ................. 1 m / NA / N / R / V / B / 7 / S LCJ ROADS ............................. L Y / NA / N / ~ / V / B / T / S J LCJ HYDROLOGIC BALANCE ................ L Y / NA / N / Q / V / 8 / T / S j LCJ BACKFILL & GRADING ................ LQY / NA / N / R / V / B / 7 / S J LCJ EXPLOSIVES ........................ l~/ NA / N / R / V / B / T / S J LC1 PROCESSING WASTES ................. L~/ NA / N / R / V / B / T / S 1 LCJ SUPPORT FACILITIES ................ L ©/ NA / N / R / V / B / T / S J LCJ TOPSOIL ........................... L Y / NA / N / R / V /© / T / S J LCJ GENERAL MINE PLAN COMPLIANCE...... L~/ NA / N / R / V / B / T / S J LCJ FISH & WILDLIFE ................... L ©/ NA / N / R / V / B / T / S ] LCJ REVEGETATION ...................... l Y / NA / N / ®/ V / B / T / S J LCJ AIR RESOURCE PROTECTION........... L ® / NA / N / R / V / B / T / S LCJ SLIDES & DAMAGE ................... L Y / ®/ N / R / Y / B / 7 / S J LCJ SUBSIDENCE ........................ L ©/ NA / N / R / V / B / T / S LCJ EXCESS SPOIL 8 DEVELOPMENT WASTE.. l Y /~/ N / R / V / B / T / S LCJ OFFSITE SUPPORT FACILITIES........ L Y / NA / N /®/ Y / B / T / S J 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 (1) L20 (2) -------------------- SDaces (3) -------------------- Max) -------------------- LCJ OTHERS ............................ L Y/ NA / N /~/ V/ B/ T J (2) ~ -------- SDaces (3) ------------ MaxJ - - - - - - - - - - - - - - - - - - - - NOTE: LCJ = Required Entry.