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RECLAMATION VISUAL INSPECTION FORM <br />Date: i' r/ <br />Site/Map ~: ' ~,/ ~ Inspected By <br />~~~ <br />Location: <br />Year Reclaimed: /n'/~'8 <br />Seed Mix: ~~ ~~ <br />Domi~nan~t Vegetat~ion:~(Jinclude grasses, fortis, shrubs, warm seaLSOn grasses, etc. by spp.) <br />.y~C(/a'~w~f~/JZ/i , irvw,lso.~ ~~'~-r- ~ l G y' <br />SYSG iJ <br />Weed Problems: <br />General Heatth: <br />Recommendations: <br />Erosion/Site Stabilization: .~~~~ <br />