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For The Follo.,ing Entries, Circle The ADDrppriatz Choice: <br />= n5p?C a drl Oun In comp lance, <br />NA _ Inspection Topic not applica~le, <br />N = Nit Inspected, <br />R =Inspected and Comments noted, <br />Y =Inspected and Violations (NOV) or Cessation Order (CO) issues, <br />B = Inspected and both Comments noted & Violations or Cessation <br />Order issued, <br />T 10 Oay 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........... LY/NA/N/®/V/B/T/$] <br />LCJ SIGNS AND MARKERS ................. L Y / NA / N /~/ V / g / T / S ] <br />LCJ ROADS ............................. L Y / NA / N / ®/ V / B / T / S J <br />LCJ HYDROLOGIC BALANCE ................ L Y / NA / N /®/ V / B / T / S ] <br />~ LCJ BACKFILL 8 GRADING ................ L ffl/ NA / N / R / V / B / T / S ] <br />LCJ EXPLOSIVES ........................ L m/ NA / N/ R/ V/ B/ T/ S J <br />Lr=1 PROCESSING WASTES ................. L Y / I~i/ N / R / V / B / T / S ] <br />LCJ SUPPORT FACILITIES ................ L Y / NA / N /~,/ V / B / T / S ] <br />LCJ TOPSOIL ........................... L Y / NA / N /~j/®/ B / T / S ] <br />LCJ GENERAL MINE PLAN COMPLIANCF_,,,,,, L Y / NA / N / R /~/ B / T / S ] <br />~ LC1 FISH 8 WILDLIFE ................... L Y / NA / N / ®/ V / B / T / S ] <br />LCJ REVEGETATION ...................... L~/ NA / N / R / V / B / T / S <br />~ LCJ AIR RESOURCE PROTECTION........... L ©/ NA / N / R / V / B / T / S ] <br />LCJ SLIDES 8 DAMAGE ................... L Y / NA / N / R / ®/ B / T / S ] <br />~ LCJ SUBSIDENCE ........................ L Y / ® / N / R / V / B / T / S ] <br />LCJ EXCESS SPOIL 8 DEVELOPMENT NASTE.. L Y / NA / N /®/ Y / B / T / S ] <br />LCJ OFFSITE SUPPORT FACILITIES........ L Y /® / N / R / V / B / T / S ] <br />LCJ RECLAMATION SUCCESS ............... Lm / NA / N / R / V / B / T / S ] <br />lCJ SPECIAL CATEGORIES OF MINING...... !©/ NA / N / R / Y / B / T / S ] <br />12j ~1~~~L-t1S,1~1L~Sz-------- L2Spaces <br />(3) -------------------- MaxJ <br />LCJ OTHERS ............................ L Y / ® / N / R / V / B / T ] <br />(1) L20 <br />(2) -------------------- Spaces <br />(3) -------------------- MaxJ <br />NOTE: LCJ Required Entry. <br />l',Ra ,~~ 4-~4.9 3 <br />