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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 ana location of sample taken under comment section. <br />GENERAL INSPECTION TOPICS: <br />CORDS........... L Y / NA /R / V / B / T / S ] <br />LC] SIGNS AND MARKERS ................. L Y / NA / ~ / V / B / T / S ] <br />LCJ ROADS ............................. L Y / NA / N /~/ V / B / T / S J <br />LCJ HYDROLOGIC BALANCE ................ L Y / NA / N / ®/ V / B / T / S ] <br />LCJ BACKFILL & GRADING ................ L Y /~/ N / R / V / B / T / S ] <br />LCJ EXPLOSIVES ........................ L Y / NA / Q / R / V / B / T / S ] <br />LCJ PROCESSING WASTES ................. L Y / NA / N /Q / V / B / T / S ] <br />LCJ SUPPORT FACILITIES ................ L® / NA /[6 / R / V / 6 / T / S J <br />LCJ TOPSOIL ........................... L Y / NA / ®/ R / V / B / T / S J <br />LC] GENERAL MINE PLAN COMPLIANCE...... L Y / NA / N /Qf'/ V / B / T / S ] <br />LCJ FISH & WILDLIFE ................... L Y / NA / ®/ R / V / B / 7 / S ] <br />LCJ REVEGETATION ...................... L Y / NA / CN / R / V / B / T / S ] <br />LC] AIR RESOURCE PROTECTION........... L Y / NA / ~ / R r~(~V / B / T / S ] <br />LCJ SLIDES & DAMAGE ................... L Y / ~ / N / (f~ / V / B / T / S ] <br />LCJ SUBSIDENCE ........................ L Y / NA / (~/ R / V / B / T / S ] <br />LCJ EXCESS SPOIL & DEVELOPMENT WASTE.. L ©/ NA / N / R / V / B / T / S ] <br />LC] OFFSITE SUPPORT FACILITIES........ L Y /~ / N / R / V / B / T / S ] <br />LCJ RECLAMATION SUCCESS ............... L Y / NA / N / R / V / 8 / T / S ] <br />LCJ SPECIAL CATEGORIES OF MINING...... L Y / ~ / N / R / V / B / T / S ] <br />(1) L20 <br />(2) -------------------- Spaces <br />(3) -------------------- Max] <br />- - - - - - - - - - - - - - - - - - - - <br />LCJ OTHERS ............................ l Y / NA / N / R / V / B / T ] <br />(2) -------------------- LSpaces <br />(3) -------------------- Ma x7 <br />- - - - - - - - - - - - - - - - - - - - <br />NOTE: LC] Required Entry. <br />_.,ar~ <br />