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<br /> <br />For The Following Entries, Circle The Approrpiate Choice: <br />-~ = nspecte an oun in co~-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) 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 OF RECORDS........... / NA / <br />[~ N /(~ / V / B / T / S ] <br />[C] SIGNS AND MARKERS ................. /~ <br />[ V+ / NA / N / R / V / B / T / S ] <br />[C] ROADS ............................. [CL / NA / N / R / V / B / T / S ] <br />[C] HYDROLOGIC BALANCE ................ [ Y / NA / N / R ~/ T / S ] <br />[C] BACKFILL & GRADING ................ [ Y / NA / N /~j/ V / B / T / S ] <br />[C] EXPLOSIVES ........................ [ Y / ® / N / R / V / B / T / S ] <br />[C] PROCESSING WASTES ................. [ Y / NA / N / R / V / B / T / S ] <br />[C] SUPPORT FACILITIES ................ [~/ NA / N / R / V / B / T / S ] <br />[C] TOPSOIL ........................... [ Y / NA / N /t~/ V / B / T / S ] <br />[C] GENERAL MINE PLAY COMPLIANCE...... [ ©/ NA / N ;' R / V / B / T / S ] <br />[C] FISH & WILDLIFE ................... [~/ NA / N ! R / V / B / T / S ] <br />[C] REVEGETATION ...................... [ Y / NA / N !®/ V / B / T / S ] <br />[C] AIR RESOURCE PROTECTION........... [Q/ NA / N / R / V / fi / T / S ] <br />[C] SLIDES & DAMP.GE ................... [~/ NA / N / R / V / B / T / S ] <br />[C] SUBSIDENCE ........................ [ Y / ®/ N / R / V / B / T / S ] <br />[C] EXCESS SPGIL & DEVELOPMENT 'WASTE.. L Y / N / N / R / V / 6 / T / S ] <br />[C] OFFSITE SUPPORT FACILITIES........ [ Y / NQ / N j R / V / B / T / S ] <br />[C] RECLAMATION SUCCESS ............... [ Y / NA / N / ®/ V / B / T / S ] <br />[C] SPECIAL CATEGORIES OF h1INING...... [ Y /~ / N / R / V / B / T / S ] <br />(1) -------------------- [20 <br />(2) ____________________ Spaces <br />(3) -------------------- Max] <br />[C] OTHERS ............................ [ Y /~/ N / R / V / B / T ] <br />~2~ -------------------- [$PdCeS <br />(3) -------------------- Max] <br />- - - - - - - - - - - - - - - - - - - - <br />NOTE: [C] = Required Entry. <br />