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<br />For The Following Entries, Circle The Appropriate Choice: <br />= nspec a an oun in comp lance, <br />NA = Inspection Topic not applicable, <br />N =Not Inspected, <br />R =Inspected and Comments noted, <br />Y =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 co mnent section. <br />GENERAL INSPECTION TOPICS: <br /> CORDS........... L Y/ NA / N /®/ V / B / T / S J <br />LCJ SIGNS AND MARKERS ................. L Y / NA / N / ®/ V / B / T / S J <br />LCJ ROADS ............................. L Y / NA / N / ®/ V / B / T / S ] <br />LCJ HYDROLOGIC BALANCE ................ L Y / NA / N /®/ Y / B / T / S J <br />LCJ BACKFILL & GRADING ................ L Y / ~ / N / R / V / B / T / S ] <br />LCJ EXPLOSIVES ........................ L V / NA / N / ®/ V / B / T / S J <br />LCJ PROCESSING WASTES ................. L (~/ NA / N / R / V / B / T / S ] <br />LCJ SUPPORT FACILITIES ................ L©/ NA / N / R / V / B / T / S ] <br />LCJ TOPSOIL ........................... L Y / NA / N / RQ/ Y / B / T / S 7 <br />LCJ GENERAL MINE PLAN COMPLIANCF_...... L Q/ NA / N / R / V / B / T / S ] <br />LCJ FISH & WILDLIFE ................... L Y~ NA / N / R / V / B / T / S J <br />LCJ REVEGETATION ...................... L Y / ~/ N / R / V / B / T / S ] <br />LCJ AIR RESOURCE PROTECTION........... L ©/ NA / N / R / V / B / T / S ] <br />LCJ SLIDES & DAMAGE ................... L Y / ~/ N / R / V / B / T / S ] <br />LCJ SUBSIDENCE ........................ L Y/ VA / N / R/ Y / B / T / S J <br />LCJ EXCESS SPOIL & DEYELOPMENT WASTE.. L ©/ NA / N / R / V / B / T / S ] <br />LCJ OFFSITE SUPPORT FACILITIES........ L ©/ NA / N / R / V / B / T / S ] <br />LCJ RECLAMATION SUCCESS ............... L ©/ NA / N / R / V / B / T / S ] <br />LCJ SPECIAL CATEGORIES OF MINING...... L Y / NA / N / R / Y / B / T / S ] <br />(1) L20 <br />(2) -------------------- Spaces <br />(3) -------------------- Max] <br />- - - - - - - - - - - - - - - - - - - - <br />LCJ OTHERS ............................ L Y / NA / N / R / Y / B / T ] <br />(1) L20 <br />(2) -------------------- Spaces <br />(3) -------------------- MaxJ <br />- - - - - - - - - - - - - - - - - - <br />NOTE: LCJ = Required Entry. ~rt!`/~- <br />