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<br />For The Following Entries, Circle The Approrpiate Choice: <br />Y = Inspecte and found 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 & 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........... [ Y / NA / N /~ / V / B / T / S ] <br />[C] SIGNS AND MARKERS ................. [ Y / NA / N /~f /G~/~ / T / S ] <br />[C] ROADS ............................. [ Y / NA / N ~/ V / 6 / T / S ] <br />[C] HYDROLOGIC BALANCE ................ [ Y / NA / N / R / V / B /C / S ] <br />[C] BACKFILL & GRADING ................ [ YO/ NA / N / R / V / B / T / S ] <br />[C] EXPLOSIVES ........................ [ Y / NF / N / R / V / B / T / S ] <br />[C] PROCESSING WASTES ................. [ Y /~ / N / R / V / B / T / S ] <br />[C] SUPPORT FACILITIES ................ [ Y / NA / N / R / V / B / T / S ] <br />[C] TOPSOIL ........................... [Cj/ NA / N / R / V / B / T / S ] <br />[C] GENERAL MINE PLAN COMPLIANCE...... [~Y~ / 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........... [~/ NA / N / R / V / B / T / S ] <br />[C] SLIDES & DAMAGE ................... ~/ NA / N / R / V / B / T / S ] <br />[C] SUBSIDENCE ........................ [G / NA / N / R / V / B / T / S ] <br />[C] EXCESS SPOIL & DEVELOPMENT WASTE.. [OY / NA / N / R / V / B / T / S ] <br />[C] OFFSITE SUPPORT FACILITIES........ [~/ NA / N / R / V / B / T / S ] <br />[C] RECLAMATION SUCCESS ............... [ Y / NA / N /~/ V / B / T / S ] <br />[C] SPECIAL CATEGORIES OF MINING...... [ Y NAB N / R / V / B / T / S ] <br />(1) -------------------- [20 <br />~3~ -------------------- Spaces <br />- - - - - - - - - - - - - - - - - - - - Max] <br />[CJ OTHERS ............................ [ Y /~~/ N / R / V / B / T ] <br />(1) -------------------- [20 <br />(2) ___ ________ Spaces <br />_______ Max] <br />(3) ------------- <br />NOTE: [C] = Required Entry. <br />