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<br /> <br />For The Following Entries, Circle The Approrpiate Choice: <br />~ = nspec a an oun in~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) issue <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 ofiu5~~mple taken under comment section. <br />GENERAL INSPECTION TOPICS: <br />C AV BIL TY 0 CORDS........... [.~ / NA / Q / R / V / 6 / T / S ] <br />[C] SIGNS AND MARKERS ................. [(~/ NA / N / R / V / B / T / S ] <br />~~.] ROADS ............................. [ Y / NA / N /~ / V / B / T / S ] <br />[L] HYDROLOGIC BALANCE ................ [ Y / NA / N / ®/ V / B / T / S ] <br />[C] BACKFILL & GRADING ................ [ Y / NA /(Tl~ / R / V / B / T / S ] <br />[(:] EXPLOSIVES ........................ [ Y / NA /(~ / R / V / B / T / S ] <br />[C] PROCESSING WASTES ................. [ Y / NA /(N~/ R / V / 8 / T / S ] <br />[C] SUPPORT FACILITIES ................ [ CY7 / NA / N / R / V / 8 / T / S ] <br />[C] TOPSOIL ........................... [~ / NA / N / R / V / B / T / S ] <br />[C] GENERAL MINE PLAN COMPLIANCE...... [ O / NA / N / R / V / B / T / S ] <br />[CJ FISH & WILDLIFE ................... [ (~/ NA / N / R / V / B / T / S ] <br />[C] REVEGETATION ...................... '[ Y / NA /~N / R / V / B / T / S ] <br />[C] AIR RESOURCE PROTECTION........... [ O / NA / N / R / V / B / T / S ] <br />[C] SLIDES & DAMAGE ................... [ Y / NA /CND / R / V / B / T / S ] <br />[C] SUBSIDEPICE ........................ [ Y / NA / ~ / R / V / 8 / T / S ] <br />[C] EXCESS SPOIL & DEVELOPMENT WASTE.. [ Y / NA /(N~ / R / V ! B / T / S ] <br />[C] OFFSITE SUPPORT FACILITIES........ [ Y / NA / N(~/ R / V / B / T / S ] <br />[C] RECLAMATION SUCCESS ............... [ Y / NA /© / R / V / B / T / S ] <br />[C] SPECIAL CATEGORIES OF MINING...... [ Y / NA /~I / R / V / B / T / S ] <br />(2) -------------------- Spaces <br />(3) -------------------- Max] <br />[C] OTHERS ............................ [ Y / NA / ~/ R / V / B / T ] <br />(1) -------------------- [20 <br />____________________ Spaces <br />(3) -------------------- Max] <br />NOTE: [C] = Required Entry. <br />