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w s ... ~. n .w .n. ,~gpnv ,1Tpp,1~MM,,~9~'- . <br /> <br />• <br /> <br />For The Following Entries, Circle The Approrpiate Choice: <br />Y = Inspected and found in compliance, <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) 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 />C A LABILITY 0 R CORDS........... [ Y / NA / ~/ R / V / B / T / S ] <br />[C] SIGNS AND MARKERS ................. [ Y / NA / ~/ R / V / B / T / S ] <br />[C] ROADS ............................. [ ~/ NA / N / R / V / B / T / S ] <br />[C] HYDROLOGIC BALANCE ................ [ Y / NA / N /~/ V / B / T / S ] <br />[C] BACKFILL & GRADING ................ [ Y / NA / u/ R / V / 6 / T / S ] <br />[C] EXPLOSIVES ........................ [ Y / NA / N / R / V / B / T / S ] <br />[C] PROCESSING WASTES ................. Y <br />[ / NA / N / R / V / B / T / S ] <br />[C] SUPPORT FACILITIES ................ '; <br />~ <br />[ U / NA / N / R / V / 8 / T / S ] <br />[C] TOPSOIL ........................... [ Y / NA / ~N7/ R / U / B / T / S ] <br />[C] GENERAL MINE PLAN COMPLIANCE...... [ Y / NA / N / J3~/ V / B / T / S ] <br />[C] FISH & WILDLIFE ................... [~/ NA j N j R / V / B j T / S ] <br />[C] REVEGETATION ...................... [ Y / NA / ~' / R / V / B / T / S ] <br />[C] AIR RESOURCE PROTECTION........... [~/ NA / N / R / V / B / T / S ] <br />[C] SLIDES & DAMAGE ................... [~/ NA / N / R / V / B / T / S ] <br />[C] SUBSIDENCE ........................ [ Y / NA / N / ~/ V / B / T / S ] <br />[C] EXCESS SPOIL & DEVELOPMENT WASTE.. [ Y / NA / ~ / 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 /> <br />[C] SPECIAL CATEGORIES OF MINING...... [ Y / NA / N / R / V / B / T / S ] <br />(2) -------------------- Spaces <br />(3) ---------------- Max] <br />- - - - - - - - - - - - - - - - - - - - <br />[C] OTHERS ............................ [ Y / NA / N / R / V / B / T ] <br />(1) <br />(2) <br />(3) <br />NOTE: [C] = Required Entry. <br />.. <br />~':, . <br />,.. ,. <br />[20 <br />Spaces <br />Max] <br />:.... ~.;e,z;r,:....,.~:,:.,~ <br />