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For The Foll~.,iitg Entries, Circle The Approprieta Choice: = nsp~c a an oun to co•np ranee, NA = Inspection Topic not applicable, N Nit Inspected, R Inspected and Comments noted, Y =Inspected ano Violations (NOVI or Cessation Order (C01 issued, B =Inspected and both Corments noted 8 Violations or Cessation Order 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 / NA / N / .RO/ V / B / i / S ] lCJ SIGNS AND MARKERS ................. L Y ~ / NA / N / R / V / B / T / S J LCJ ROADS ............................. L Y / NA / N / R / V / B / T / S J LCJ HYDROLOGIC BALANCE ................ L Y / NA / N /O/ V / B / T / S ] LCJ BACKFILL 8 GRADING ................ l~ / NA / N / R / V / B / T / S ] LCJ EXPLOSIVES ........................ L Y / ~/ N / R/ Y / 8 / T / S j LCJ PROCESSING WASTES ................. L Y / NA / N / R / V / B / T / S J LCJ SUPPORT FACILITIES ................ L Y /~ N / R / Y / B / T / S ] LCJ TOPSOIL ........................... L~ NA / N / R / V / B / T / S J LCJ GENERAL MINE PLAN COMPLIANCE,,,.,, L Y~/ NA / N / R / V / B / T / S ] LCJ FISH 8 WILDLIFE ................... L Y / NA / N / R~/ V / B / T / S J LCJ REVEGETATION ...................... L Y / NA / N /~/ Y / B / T / S ] LCJ AIR RESOURCE PROTECTION........... / NA / N / R / Y / B / T / S J LCJ SLIDES & DAMAGE ...................L Y NA / N ~/ V / B / 7 / 5 ] LCJ SUBSIDENCE ........................ L Y / NA / N / R / V / B / T / S ] lCJ EXCESS SPOIL b DEVELOPMENT WASTE.. l Y / NA / N / R / V / B / T / S ] LCJ OFFSITE SUPPORT FACILITIES........ l Y NA / N / R / V / B / T / S J LCJ RECLAMATION SUCCESS ............... LO / NA / N / R / V / B / T / 5 ] LCJ SPECIAL CATEGORIES OF MINING...... L Y / NA N / R / Y / B / T / 5 J (1) - - - - - - L20 (2 ) - - - - - - - - - - - - - - $ DaCeS (3) ----------- - - - - - - - - - - - - - -- - - - - -- - - - - - - - - Max] LCJ ....... L OTHERS ..................... Y / NA / N /~ V / B / T ] p ll) ~~ ~ r~ ~'~1Q12Z - _ L2 0 - (p) - - - -- -- - - -- -- - - - - Spaces ---------- (3) - - - - - -- - - - - - - - - - - MaxJ NOTE: LCJ = Required Entry.