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<br /> <br />For The Following Entries, Circle The Approrpiate Choice: <br />Y = lnspectetl antl tountl to compitance, <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 R CORDS........... [ Y / NA / N /®/ V / B / T / S ] <br />[C] SIGNS AND MARKERS ................. [ Y / NA / N / R / V !~ B % T / S ] <br />[C] ROADS ............................. [ Y / NA / N /~ R <br />~/ V / B / T / S ] <br />[C] HYDROLOGIC BALANCE ................ [ Y / NA / N ~ ~~ <br />H f V / B / T / S ] <br /> <br />[C] BACKFILL & GRADING ................ [ Y / !~/ N / R / V / B / T / S ] <br />[C] EXPLOSIVES ........................ [ Y /~/ 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 ........................... [~/ NA / N / R / V / B / T / S ] <br />[C] GENERAL MINE PLAN COMPLIANCE...... ~~/ NA / N / R / V / B / T / S ] <br />[C] FISH & WILDLIFE ................... [~/ NA / N / R / V / B / T / S ] <br />[C] REVEGETATION ...................... [ Y / f@ / N / R / V / B / T / S ] <br />[C] AIR RESOURCE PROTECTION........... [~ NA / N / R / V / B / T / S ] <br />[C] SLIDES & DAMAGE ................... [ Y /~/ N / R / V / B / T / S ] <br />[C] SUBSIDENCE ........................ [ Y / ~ N / R / V / B / T / S ] <br />[C] EXCESS SPOIL & 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 /~/ N / R % V / B / T / S ] <br />[C] SPECIAL CATEGORIES OF MINING...... [ Y /®/ N / R / V / B / T / S ] <br />(1) -------------------- [20 <br />. (2) Spaces <br />(3) -------------------- Max] <br />- - - - - - - - - - - - - - - - - - - - <br />[C] OTHERS ............................ [ Y /~/ N / R / V / B / T ] <br />(1) -------------------- [20 <br />(2) -------------------- Spaces <br />(3) -------------------- Max] <br />NOTE: [C] = Required Entry. -~ <br />