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For The Foll;,.;i~ig Entries, Circle The ADDrppridt2 Choice: _ ~Sp?.: ed do Oun to COnpildnCe, NA = Inspection Topic not applicably, - N = Nit Inspected, R Inspected and Comments noted, Y =Inspected ano Violations (;iOV) ur Cessation Order (CO) issued, B = Inspected and both Comments notec 8 Violations or Cessation Grder issued, T = 10 Day Notice Issued by OSM Oversight personnel, S =Sample taken and sent to the lab from analysis - describe type and location of sample taken under comment section. GENERAL INSPECTION TOPICS: CORDS........... L Y / ©A i N / R/ V / B / T / S ] LCJ SIGNS AND M ARKERS ................. L Y / NA / N /~/ y / g / T / S J LCJ ROADS ...... ....................... L Y / NA / N / ®/ V / B / T / S J LCJ HYDROLOGIC BALANCE ................ L Y / NA / N / ®/ y / B / T / S J LCJ BACKFILL 8 GRADING ................ L O/ NA / N / R / Y / B / T / S ] LCJ EXPLOSiYES . ....................... L Y / ~/ N / R/ Y / B / T / S j L~:J PRGCESSING WASTES ................. L Y /(~ / N R / Y / B ,' T ,' S 1 LGJ SUPPORT FACILITIES ................ L Y / N~1+ ! N / P. / Y / ? / T ! c 1 LCJ TOPSOIL ........................... L Y / NA / Q/ R / V / 8 / T / 5 J LCJ GENERAL MINE PLAN COMPLIANCE...... L Y / NA / ®/ R / Y / B / T / S J LCJ FISH 8 WILDLIFE ................... L Y / NA / Cl/ R / Y / B / T / S ] LCJ REYEGETA7ION ...................... i~~/ NA i N i R i Y / B i T / S J LCJ AIR RESOURCE PROTECTION........... ! Y i ~?/ N / R / Y / B / T / S ] LCJ SLIDES 8 DAMAGE ................... L ~/ NA / N / R / Y / B / T / S ] LCJ SUBSIDENCE ........................ L Y/ !A / N/ R / V / B / T / S J LCJ EXCESS SPOIL 8 DEVELOPMENT WASTE.. L Y / ® / N / R / V / B / T / S J LCJ OFFSITE SUPPORT FACILITIES........ L Y / ®/ N / R / V / B / T / S ] LCJ RECLAMATION SUCCESS ............... Lam/ NA / N / R Y / B / T / S ] LCJ SPECIAL CATEGORIES OF MINING...... ! Y / NA /~/ R / Y / B / T / S J (1 ) L20 (2) -------------------- Spaces (3) -------------------- Max) - - - - - - - - - - - - - - - - - - - - Lr:J OTHERS ............................ L Y/ NA / N /(~/ V/ B/ T J (2) Spaces (3) -------------------- MaxJ - - - - - - - - - - - - - - - - - - - - HATE: LCJ = Required Entry.