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For The Follo.~ing Entries, Circle The Appropriate Choice: <br />= ns p~C a an oun In comp 7dnCe, <br />NA = Inspection Topic not applicable, <br />N = Nit Inspected, <br />R = Inspected dnd Comments noted, <br />Y = Inspected and Violations (NOV) or Cessation Oraer (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 />5 =Sample taken and sent to the lab from analysis - describe <br />type and location of sample taken under co mnent section. <br />GENERAL INSPECTION TOPICS: <br /> CORDS........... L Y / NA /~J/ R / V / B / T / S ] <br />LCJ SIGNS AND MARKERS ................. L Y / NA /~ R / V / B / T / S ] <br />LC1 ROADS ............................. L Y / NA / N /~j/ V / B / T / S ] <br />LCJ HYDROLOGIC BALANCE,,,,,,,,,,,,,,,, L Y / NA / N / R / Y /®/ T / 5 ] <br />LCJ BACKFILL 8 GRADING ................ L Y / NA ~/ R / V / B / T / S ] <br />LC] EXPLOSIVES ........................ L© / NA / N / R / V / B / T / S ] <br />LCJ PROCESSING WASTES ................. L © / NA / N / R / Y / B / T / S ] <br />LCJ SUPPORT FACILITIES ................ L Y / NA / N /~/ Y / 8 / T / S ] <br />LCJ TOPSOIL ........................... L Y / NA / N / R / Y ~/ T / S ] <br />LCJ GENERAL MINE PLAN COMPLIANCE....,, L Y / NA / N /~ V / B / T / 5 ] <br />LCJ FISH 8 WILDLIFE ................... L Y / NA /Q/ R / V / B / T / S ] <br />LCJ REVEGETA7ION ...................... L Y / NA /~/ R / V / B / T / S ] <br /> ,% <br />~ <br />LC1 AIR RESOURCE PROTECTION........... l ~ NA / N / R / V / B / T / S ] <br />LCJ SLIDES 8 DAMAGE ................... LD/ NA / N / R / Y / B / T / S ] <br />LCJ SUBSIDENCE ........................ L Y / NA /~ R / V / B / T / 5 J <br />LCJ EXCESS SPOIL b DEVELOPMENT WASTE.. L Y / NA / N /~y/ V / B / T / S ] <br />LCJ OFFSITE SUPPORT FACILITIES........ L Y / NA /~/ R / V / B / T / S ] <br />LCJ RECLAMATION SUCCESS ............... L Y / NA / N / R / V / B / T / S ] <br />LCJ SPECIAL CATEGORIES OF MINING...... L Y / NA N / R / V / B / T / S ] <br />(1) L20 <br />(2) -------------------- Spaces <br />(3) -------------------- Max] <br />- - - - - - - - - - - - - - - - - - - - <br />LC] OTHERS ............................ L Y / NA /~/ R / V / B / T ] <br />(1) L20 <br />(2) - - - - - - - - - - - - - - - - - - - - <br />-------------------- Spaces <br />(3) -------------------- Max] <br />NOTE: LCJ = Required Entry. <br />fi'r'- <br />