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<br />For The Following Entries, Circle The Approrpiate Choice: <br />r = inspectea ana rouna 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 AVAILABILITY 0 RECORDS........... [ Y / NA ~ / R / V / B / T / S ] <br /> <br />[C] SIGNS AND MARKERS ................. [~Y ~/ NA / N / R / V / B / T / S ] <br /> <br />~C] ROADS ............................. [ Y / NA / N / R / V / B / T / S ] <br />[l:] HYDROLOGIC BALANCE ................ [ Y / NA / N ~ V / B / T / S ] <br />[L] BACKFILL & GRADING ................ [ Y / NA / N R / V / B / T / S ] <br />[C] EXPLOSIVES ........................ [ Y N / N / R / V / B / T / S ] <br />(C] PROCESSING WASTES ................. [ Y NAi/ N V / B / T / S ] <br />[C] SUPPORT FACILITIES ................ [ Y / NA / N ~ <br />R V / B / T / S ] <br />[C] TOPSOIL ........................... ~~ / NA / N / R / V / B / T / S ] <br /> <br />[C] GENERAL MINE PLAN COMPLIANCE...... [ Y / NA / N ~ V / B / T / S ] <br /> <br />[C] FISH & WILDLIFE ................... [~~ / NA / N ~ R / V / B / T / S ] <br /> <br />[C] REVEGETATION ...................... [ Y / NA / N ~ V / B / T / S ] <br /> ' <br />[C] AIR RESOURCE PROTECTION........... [~ <br />~ / NA / N / R / V / E / T / S ] <br /> <br />[C] SLIDES & DAMAGE ................... [ Y / NA N / R / V / B / T / S ] <br />[C] SUBSIDENCE ........................ [ Y NA N / R / V / B / T / S ] <br />[C] EXCESS SPOIL & DEVELOPMENT WASTE.. [ Y / NA / N / R / V ! B / T / S ] <br /> <br />[C] OFFSITE SUPPORT FACILITIES........ [ Y / NA / N~ R / V / B / T / S ] <br /> <br />[C] RECLAMATION SUCCESS ............... [ Y / NA / N ~ / V / B / T / S ] <br />[C] SPECIAL CATEGORIES OF MINING...... [ Y /~/ N / R / V / B / T / S ] <br />(l) ------------~-------- [20 <br />(2) ________ ________ Spaces <br />(3) ------------~-------- Max] <br />[C] OTHERS ............................ [ Y / NA / N / R / V / B / T ] <br />20 <br />(l) ------------ <br />Spaces <br />~3~ --------------------- Max] <br />NOTE: [C] = Required Entry. <br />