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<br />For The Following Entries, Circle The Approrpiate Choice: <br />x = inspeccea ana rouna in compliance, <br />NA = Inspection Topic not applicable, <br />N =Not Inspected, <br />R =Inspected and Comments noted, <br />V =Inspected and Violations (NOV) or Cessation Order (CO) issued, <br />B =Inspected and both Comments noted & 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 />C AVAILABILITY OF RECORDS........... [ Y / 1~/ ~ R / V / B / T / S ] <br />[C] SIGNS AND MARKERS ................. [~/ NA / N / R / V / B / T / S ] <br />[C] ROADS .......................::.... [l7 / NA / N / R % V / B / T / S' ] <br />[C] HYDROLOGIC BALANCE ................ [ Y / NA / N / R / V /®/ T / S ] <br />[C] BACKFILL & GRADING ................ [ ®/ NA / N / R / V / B / T / S ] <br />[C] EXPLOSIVES ........................ [ Y / N / N / R / V / B / T / S ] <br />[C] PROCESSING WASTES ................. [ Y /~/ N / R / V / B / T / S ] <br />[C] SUPPORT FACILITIES ................ [~/ NA / N / R / V / B / T / S ] <br />[C] TOPSOIL ........................... [(JJ/ NA / N / R / V / B / T / S ] <br />[C] GENERAL MINE PLAN COMPLIANCE...... [~ / NA / N / R / V / B / T / S'] <br />[C] FISH & WILDLIFE ................... [ (`a / NA / N / R / V / B / T / S ] <br />[C] REVEGETATION ...................... [ n / NA / N / R / V / 6 / T / S ] <br />[C] AIR RESOURCE PROTECTION........... [rY~/ NA / N / R / V / B / T / S ] <br />[C] SLIDES & DAMAGE ................... [ Y /~ / N / R / V / B / T / S ] <br />[C] SUBSIDENCE ........................ [ Y / ftC,A~/ N / R / V / B / T / S ] <br />[C] EXCESS SPOIL & DEVELOPMENT WASTE.. [ Y / ~A7/ N / R / V / B / T / S ] <br />[C] OFFSITE SUPPORT FACILITIES........ [~'i/ NA / N /~R~ / V / B / T / S ] <br />[C] RECLAMATION SUCCESS ............... [r5';/ NA / N / R / V / B / T / S ] <br />[C] SPECIAL CATEGORIES OF MINING...... [ Y /;riA%/ N / R / V / B / T / S ] <br />(1) ------- [20 <br />- - - - - - - - - - - - - <br />(2) Spaces <br />(3) -------------------- Max] <br />- - - - - - - - - - - - - - - - - - - - <br />[C] OTHERS ............................ [ Y / rte/ N / R / V / B / T ] <br />(1) -------------------- [20 <br />(2) Spaces <br />(3) -------------------- Max] <br />- - - - - - - - - - - - - - - - - - - - <br />NOTE: [C] = Required Entry. <br />