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<br /> ~ ~ m , ~,,,,,,,,~c,, <br /> <br /> For the Following Entries, C ir cle The Aop rooriata Choice: ~) F2~c~. <br />/ <br />nspec a an oun <br />in comp lance, }~. ~ ~ <br /> NA = Inspection Topic not applicable, <br /> N Nit Inspected, <br />~ R =Inspected and Comments noted, <br /> Y =Inspected ;.nd Violations (NOVI o r Cessation Or der (C01 issues, <br /> B Inspected and both Comments note d 8 Viol ations or Cessation <br /> Order issued, <br /> T = 10 Day Notice Issued by OSM Over sight Personne l <br /> <br />S =Sample taken and sent to the lab <br />from analysis , <br />- <br />describe <br /> type and location o ~ sample taken under commen t section, <br />GENERAL INSPECTION TOPICS: <br /> CORDS ........... L Y/ N A/ N / R/ V / B / T / S ] <br />LCj SIGNS AND MARKERS ................. L Y / NA / N Y / B / T / S ] <br />LCJ ROADS ............................. L Y/ NA / N / R/ V / B / T / S j <br />LCJ HYDROLOGIC BALANCE ................ L Y / NA / N /~/ V / B / T / S 1 <br />LCJ BACKFILL 8 GRADING ................ L ~/ NA / N / R / V / B / T / S ] <br />lC] EXPLOSIVES ........................ L Y/ NA / N / R/ V / B / T / S j <br />LCj PROCESSING WASTES ................. L Y / NA / N / R / Y / B / T / S j <br />LCj SUPPORT FACILITIES...:.:.:........ L r / NA / N / ®/ V~ / B / T / S <br />LC] TOPSOIL ........................... L Y/ NA / N /®/ V / B / T / S j <br />LC] GENERAL MINE PLAN COMPLIANCE,.,.,, L Y NA / N / R / V / B / T / S ] <br />LC] FISH 8 WILDLIFE.........:.......,. L Y / NA / N / R / Y / B / T / S ] <br />LC] REVEGETATION ......:..:.......:.'...= L Y / NA y,N / R /-V /..B, / T / 5 ] <br />LCJ AIR RESOURCE PROTECTION........... L Y / NA / N / R / Y / B / T / S ] <br />LC] SLIDES 8 DAMAGE ................... L Y / NA / N / R / V / B / 7 / S ] <br />--~LC] SUBSIDENCE ........................ L~/ NA / N / R / V / B / T / S ] <br />LCJ EXCESS SPOIL d DEVELOPMENT WASTE.. L Y / NA / N /~/ V / B / T / S ] <br />lC] OFFSITE SUPPORT FACILITIES...,.... L / NA / N / R / V / B / T / S ] <br />LCJ RECLAMATION SUCCESS ............... ( Y NA / N /~R~' Y / B / T / S ] <br />LC1 SPECIAL CATEGORIES OF MINING...... L Y / ~A / N / R / V / B / T / S ] <br /> (1) l20 <br /> (2) ---------- - ---- --- - - Spaces <br /> (3) ---------- <br />- - - - - - - - - - - <br />- ---- <br />- - - - --- <br />- - - - <br />- - <br />- Max] <br /> <br />l0] <br />. <br />. . <br />. <br />OTHERS.. ......... L Y / ~A / N / R / Y / B / T ] <br /> + <br />, <br />~ ~ <br />~ <br /> (1 ) L 20 <br /> (2) ---------- - ---- -- -- - Spaces <br /> (31 ---------- <br />- - - - - - - - - - - <br />- ---- <br />- - - - -- <br />- - -- <br />- - - <br />- Max] <br />NOTE: lCj = Required Entry, <br />:~ <br />i <br />