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For The Following Entries Circle The Approroiate Choice: <br />~ = tnspec-Ee`o awn foun~ i~ n 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) issue <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 and location of sample taken under comment section. <br />GENERAL INSPECTION TOPICS: <br /> i,'dNILABILITY O R CORDS........... [ Y /~ / N / R / V~ B / T / S ] <br />If] SIGNS AND MARKERS ................. [~/ NA / N / R ~ <br />/'Q>'/ B / T / S ] <br />~~] ROAOS ............................. [ Y / NA / N / R / ©/ B / T / S ] <br />[i,( HYDROLOGIC BALANCE ................ [ Y / NA / N / R / CV7/ B / T / S ] <br />(LJ BACKFILL b GRADING ................ [ Y / ®/ N / R / V / B / T / S ] <br />~~] ExPLOSIVES ........................ [~/ NA / N / R / V / B / T / S ] <br />(C) PRIICESSING WASTES ................. [ Y / ~ / N / R / V / B / T / S ] <br />[C] SUPPURT FACILITIES ................ [ ~ / NA / N / R / V / B / T / S ] <br />[C] TOPSOIL ........................... [~ / NA / N / R / V / B / T / S ] <br />(C] GENERAL MINE PLAN COMPLIANCE...... [ Q/ NA / N / R / V / B / T / S ] <br />(LJ F!SH & WILDLIFE ................... [~ / NA / N / R / V / B / T / 5 ] <br />[L] REVEGETATION ...................... [ Y / ©/ N / R / V / B / T / 5 ] <br />fC] AIR RESOURCE PROTECTION........... [ Y / ~!, / N / R / V / B / T / S ] <br />[C] SLIDES & DAMAGE ................... [ Y / N~ / N / P. / V / B / T / S <br />[C] SUBSIDENCE ........................ [ Y / ®/ N / R / V / B / T / S ] <br />[C] ExCESS SPOIL 8 DEVELOPMENT WASTE.. [ Y / ®/ N / R / V ! B / T / S ] <br />[C] OFFSITE SUPPORT FACILITIES........ [ Y / ~ / N / R / V / B / T / S ] <br />[C] RECLAMATION SUCCESS ............... [ Y / I~4 / N / R / V / B / T / S ] <br />[C] SPECIAL CATEGORIES OF MINING...... [ Y / ~/ N / R / V / B / 7 / S ] <br />1 <br />(2) -------------------- [20paces <br />(3) -------------------- Max] <br />(C] OTHERS ............................ [ Y / NA / N / R / V / B / T ] <br />---- ----__ [20 <br />- - - - - - - - - - <br />~3~ ------------------ SpaMax <br />NOTE: [C] = Required Entry. <br />