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For The Foll~,~i~,g Entries, Circle The Aopropriata Choice; <br />nsp~.: e ari oun in co•np lance, <br />NA _ Inspection Topic not aDPlica~l~, <br />N Nit Inspected, <br />R Inspected and comments noted, <br />Y =Inspected and Violations i~VOY) dr Cessation Order (COl issued, <br />B Inspected and bath 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 />CORDS........... L Y / NA / N / ®/ Y / B / T / S ] <br />LCJ SIGNS AND MARKERS ................. L Y / NA / N / ®/ V / B / T / S ] <br />LCJ ROADS ............................. L Y / NA / N / ~/ V / B / T / S ) <br />LCJ HYDROLOGIC BALANCE ................ L Y / NA / N / ®/ V / B / T / $ J <br />LCj BACKFILL & GRADING ................ L Y / ~/ N / R / Y / B / T / S ) <br />LCJ EXPLOSIYES ........................ L Y/ ®/ N / R/ Y / B / T / S J <br />Lr=J PROCESSING WASTES ................. L Y / NA / N /®/ V / B / T / S <br />LC) SUPPORT FACILITIES ................ L Y / NA / N /~/ Y / B ! T / S ) <br />l~] TOPSOIL ........................... L Y / NA / N / ®/ V / B / T / S 1 <br />LCJ GENERAL MINE PLAN COMPLIANCE...... L ©/ NA / N / R / V / B / T / S J <br />lCJ FISH 8 WILDLIFE ................... L ®/ NA / N / R / Y / B / T / S ) <br />LCJ REVEGETATION ...................... l ~/ NA / N / R / Y / B / T / S ) <br />LCJ AIR RESOURCE PROTECTION........... L ~/ NA / N / R / V / B / T / S ) <br />LCJ SLIDES 8 DAMAGE ................... L Y / ~/ N / R / V / B / T / S ) <br />LCJ SUBSIDENCE ........................ L ~/ NA / N / R / Y / B / T / 5 ) <br />lCJ EXCESS SPOIL 8 DEYELOPMENT WASTE.. L Y / ®A / N / R / V / B / T / S ) <br />LCJ OFFSITE SUPPORT FACILITIES........ L Y / NA / N / ~/ V / B / T / S ) <br />LCJ RECLAMATION SUCCESS ............... L ~/ NA / N / R / Y / B / T / 5 ) <br />LCJ SPECIAL CATEGORIES OF MINING...... L Y / ®/ N / R / V / B / T / S ) <br />(1) L20 <br />(2) -------------------- SDaces <br />(3) -------------------- Max) <br />- - - - - - - - - - - - - - - - - - - - <br />LCJ OTHERS ............................ L Y / NA / N /t~/ V / B / T ) <br />-------- SDaces <br />(3l ------------ Ma x1 <br />- - - - - - - - - - - - - - - - - - - - <br />NOTE: LCJ Required Entry. <br />