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v <br />,- r <br />For the Following Entries, Circle The Appropriate Choice: <br />= nspec e an dun in co•np lance, <br />NA = Inspection Topic not applicable, <br />N = Nit Inspected, <br />R =Inspected and Comments noted, <br />V =Inspectea and Violations (NOV) or Cessation Order (CO) issued, <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 cortttient section. <br />GENERAL INSPECTION TOPICS: <br /> CORDS........... L Y / NA / N / R '/ Y / B / T / S J <br />LCJ SIGNS AND MARKERS ................. L Y / NA / N / R~/ Y / B / T / S ] <br />LCJ ROADS ............................. L Y / NA / N / ~ V / B / T / S ] <br />LLJ HYDROLOGIC BALANCE ................ L Y / NA / N / ®/ V / B / T / S ] <br />LC1 BACKFILL & GRADING ................ L Y / NA / N / ®/ Y / B / 7 / S <br />LC] EXPLOSIYES.... ................. L Y / Q / N / R / Y / 8 / T / S ] <br />LCJ PROCESSING WASTES ................. L Y / ~ / N / R / Y / B / T / S .] <br />..lC] SUPPORT FACILITIES ................ L Y / ~ / N / R / V ./ B / T / S ] <br />.lC] TOPSOIL ........................... L Y / NA / N / ®/ V / B / T / S ] <br />LC] GENERAL MINE PLAN COMPLIANCE...... l am/ NA / N / R /. Y / B / T / S ] <br />,,`LCj FISH 8 WILDLIFE ..:.........:....:. Cam/ NA / N / R / V / B / T / 5 ] <br />LCJ REYEGETATION ...................... L ®/ NA / N / R / Y / B / 7 / S ] <br />LCJ AIR RESOURCE PR07ECTION........... L Y / ~ / N / R / V / B / T / S ] <br />LCJ SLIDES 8 DAMAGE ................... L Y / NA / N /CRS/ V / B / T / S ] <br />LCJ SUBSIDENCE ........................ L Y / I~ / N / R / Y / B / T / S <br />LCJ EXCESS SPOIL 8 DEVELOPMENT WASTE.. L Y / N'°')9 / N / R / V / B / T / S ] <br />LCj OFFSITE SUPPORT FACILITIES........ L Y / ~/ N / R / Y / B / T / S ] <br />LCj RECLAMATION SUCCESS .........:..... L d / NA / N / R / Y / B -/ T / S ] <br />LCj SPECIAL CATEGORIES OF MINING...... L Y / ®/ N / R / Y / B / T / S J <br />(1) L2o <br />- - - - - - - - - - - - - - - - - - - - <br />(2) Spaces <br />(3) -------------------- Max] <br />- - - - - - - - - - - - - - - - - - - - <br />LCj OTHERS ....................... . .. L Y / NA / N /®/ V / B / 7 ] <br />(2) Spaces <br />(3) -------------------- Max] <br />- - - - - - - - - - - - - - - - - - - - <br />NOTE: LCJ = Required Entry. <br />