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For The Fol]owing Entries, Circle The ~prorpiate Choice: <br />Y =Inspected and foun~in compTtance, <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 / ®/ R / V / B / T / S ] <br />[C] SIGNS AND MARKERS ................. [ Y / NA /~ / R / V / B / T / S ] <br />[C] ROADS ............................. [ Y / NA /~ / R / V / B / T / S ] <br />[C] HYDROLOGIC BALANCE ................ [ Y / NA /~ R / V / 6 / T / S ] <br />[C] BACKFILL & GRADING ................ [ Y / NA / N / R~/ V / B / T / S ] <br />[C] EXPLOSIVES ........................ [ Y / N / N / R / V / B / T / S ] <br />[C] PROCESSING WASTES ................. [ Y / NA / N / R / V / B / T / S ] <br />[C] SUPPORT FACILITIES ................ [ Y NA / N / R / V / B / T / S ] <br />[C] TOPSOIL ............. .. [ Y / NA /~/ R / V / 6 / T / S ] <br />[C] GENERAL MINE PLAN COMPLIANCE...... [ Y / NA / N / 2~ V / B / T / S ] <br />[C] FISH & WILDLIFE ................... [ Y / NA /~/ R / V / B / T / S ] <br />[C] REVEGETATION ...................... [ Y / NA / Q/ R / V / B / T / S ] <br />[C] AIR RESOURCE PROTECTION........... [ Y / NA / N'/ R / V / B / T / S ] <br />[C] SLIDES & DAMAGE ................... j Y / NA / ®/ R / V / B / T / S ] <br />[C] SUBSIDENCE ........................ j Y / NA / N / R / V / B / T / S ] <br />[C] EXCESS SPOIL & DEVELOPMENT WASTE.. [ Y / A / N / R / V / B / T / S ] <br />[C) OFFSITE SUPPORT FACILITIES........ [ Y /. NA / N / R / V / B / T / S ] <br />[C] RECLAMATION SUCCESS ............... [ Y / NA / ®/ R / U / 8 / T / S ] <br />[C] SPECIAL CATEGORIES OF MINING...... j Y / IA / N / R / V / 8 / T / S ] <br />(1) -------------------- [20 <br />(2) --------------------_ Spaces <br />(3) ------------------- Max] <br />[C] OTHERS ............................ [ Y / NA / N / R / V / B / T ] <br />(1) -------- - [20 <br />- - - - - - - - - - - <br />____________________ Spaces <br />(3) -------------------- Max] <br />NOTE: [C] = Required Entry. <br />