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• • <br />For the Following Entries, Circle The ADPropriate 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 />V =Inspected-and Violations (NOV) or Cessation Order (CO) issued, <br />B =Inspected and both Comments noted 8 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: ~ 1 <br />CORDS........... Lim / NA / N / R / V / 8 / T / S ] <br />LC] SIGNS AND MARKERS ................. L'Y~ / NA / N / R / Y / B / T / S <br />LC] ROADS .............:.:..:...~....:.. L Y~/ NA / N /.R / V / B / T / S ] <br />LCJ HYDROLOGIC BALANCE ................ L Y / NA / N ~ V / B / T / S ] <br />LC] BACKFILL 8 GRADING ................ L Y / NA / N / R / V / B / T / S ] <br />LC] EXPLOSIVES ........................ L~/ NA / N / R / V / B / T / S ] <br />Lr,] PROCESSING WASTES ................. L Y / NA / N / R / V / B / T / S ] <br />LC] SUPPORT FACILITIES ................ L Y / NA / N /~/ V / B / 7 / S ] <br />LC] TOPSOIL ........................... L Y / NA / N / R / V / B / T / S ] <br />LC] GENERAL MINE PLAN COMPLIANCE,,,,,, l~/ NA / N / R / V / B / T / S ] <br />LCJ FISH 8 WILDLIFE ................... L Y / NA / N / R / Y / B / T / S ] <br />LC] REVEGETATION ...................... L Y / NA / N / R / V / B / T / S ] <br />LC] AIR RESOURCE PROTECTION........... L Y / NA / N / R / V / B / T / S ] <br />LC] SLIDES 8 DAMAGE ................... L Y / NA / N / / V / 8 / 7 / 5 ] <br />PLC] SUBSIDENCE ........................ L Y / NA / N / R / V / B / T / S <br />~ LC] EXCESS SPOIL 8 DEVELOPMENT WASTE.. L Y / NA / N / V / B / T / S ] <br />LC] OFFSITE SUPPORT FACILITIES........ L Y '~~N~/ N / R / V / B / T / S ] <br />LC] RECLAMATION SUCCESS ..:............ L Y /' NA} / N / R / Y / B / T / S ] <br />LC] SPECIAL CATEGORIES OF MINING....,. L Y NA / N % R / Y / B / T / S ] - <br />(1) L20 <br />(2) -------------------- Spaces <br />(3) -------------------- Max] <br />- - - - - - - - - - - - - - - - - - - - <br />LC] OTHERS ............................ L Y._ NA~ - N / R~% V / B / T ] <br />(2) _______ ~ ____________ Spaces <br />(3) ---- -------------- Max) <br />NOTE: LCj Required Entry. <br />- -: <br />'S <br />