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I <br /> For The Following Entries, Circle The Approrpiate Choice: <br /> nspecte an Found n compriance, <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 /> 6 = 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 /> LCJ AVA LA Y CORDS. . . . . . . . . . . [ Y / NA R / V / B / T / S ] <br /> [C] SIGNS AND MARKERS. . . . . . . . . . . . . . . . . [ If,'/ NA / N / R / V / B / T / S ] <br /> [C] ROADS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . [ Y / NA / N V / B / T / S ] <br /> [C] HYDROLOGIC BALANCE. . . . .. . . . . . . . . . . [ Y / NA / N / U/ V / B / T / S ] <br /> [C] BACKFILL & GRADING. . . . . . .. . . . . . . . . [ (5/ NA / N / R / V / 6 / T / S ] <br /> [C] EXPLOSIVES. . . . . . . . . . . .. . . .. . . ... . . [ Y / NA / u/ R / V / B / T / S ] <br /> [C] PROCESSING WASTES. . . .. . . . . .. . . . . . . [ Y / itA / N / R / V / B / T / S ] <br /> [C] SUPPORT FACILITIES. . . . . . . . . . . . . . . . [ &)/ NA / N / R / V / B / T / S ] <br /> [C] TOPSOIL. . . . . . .. . . . .. .. . . . . . . .. .. . . [ 0/ NA / N / R / V / B / T / S ] <br /> [C] GENERAL MINE PLAN COMPLIANCE. . . . . . [ (YY.)/ NA / N / R / V / 6 / T / S ] <br /> [C] FISH & WILDLIFE. . . . . . . . .. . . . . . . . . . NA / N / R / V / B / T / S ] <br /> [C] REVEGETATION. .. . . . . . . . . . . . . . . . . . . . NA / N / R / V / B / T / S ] <br /> [C] AIR RESOURCE PROTECTION. . . . . . . . . . . [ �/ NA / N / R / V / B / T / S ] <br /> [C] SLIDES & DAMAGE. . . . . . . . . . . . . . . . . .. [ LY`/ NA / N / R / V / 6 / T / S ] <br /> [C] SUBSIDENCE. . . . . . . . . . . . . . . . . . . . . ... [ Y / NA /(�)/ R / V / B / T / S ] <br /> [C] EXCESS SPOIL & DEVELOPMENT WASTE. . [ Y / N=/ N / R / V / B / T / S ] <br /> [C] OFFSITE SUPPORT FACILITIES. . . . . . .. [ Y / NA % N / R / V / B / T / S ] <br /> [C] RECLAMATION SUCCESS. . . . . . . . . . . . . . . [ Y)/ NA / N / R / V / B / T / S ] <br /> [C] SPECIAL CATEGORIES OF MINING. . . .. . [ Y / AND/ N / R / V / 6 / T / S ] <br /> (1 ) - - - - - - - - - - - - - - - - - - - - [20 <br /> (2) _ _ _ _ _ _ _ _ _ _ _ _ _ Spaces <br /> (3) - - - - - - - - - - - - - - - - - - - - Max] <br /> [C] OTHERS. . . .. . . . . ... . .. . . . . . . .. .. ... [ Y / Nam/ N 1 R / V / B / T ] <br /> (1 ) - - - - - - - - - - - - - - - - - - - - [20 <br /> (2) - - - - - - - - - - - - - - - - - - - - Spaces <br /> — — — — — — — — — — — — — — — — — — — — <br /> NOTE: [C] = Required Entry. <br />