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For The Following Entries, Circle The Approrpiate Choice: <br /> � = nspecte an oun 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 /> LCJ AVAILABILITY OF RECORDS. . . . . . . . . . . [ Y / NA / N /(3R / V / B / T / S ] <br /> [C] SIGNS AND MARKERS. . . . . . . . . . . . . . . . . [( / NA / N / R / V / B / T / S ] <br /> [C] ROADS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . [(j/ NA / N / R / V / B / T / S ] <br /> [C] HYDROLOGIC BALANCE. . . . . . . . . . . . . . . . [ Y / NA / N /®/ V / B / T / S ] <br /> [C] BACKFILL & GRADING. . . . . . . . . . . . . .. . [()/ NA / N / R / V / B / T / S ] <br /> [C] EXPLOSIVES. . . . . . . . . . . . . . . . . . . . . . . . [ bl NA / N / R / V / B / T / S ] <br /> [C] PROCESSING WASTES. . . . . . . . . . . . . . . . . [ Y / NA / N / R / V / B / T / S ] <br /> [C] SUPPORT FACILITIES. . . . . . . . . . . . . . . . [ C/ NA / N / R / V / B / T / S ] <br /> [C] TOPSOIL. . . . . . . . . . . . . . . . . . . . . .. .. . . NA / N / R / V / B / T / S ] <br /> [C] GENERAL MINE PLAN COMPLIANCE. . . . . . [ 'Y / NA / N / R / V / B / T / S ] <br /> [C] FISH & WILDLIFE. . . . . . . . . . . . . . . . . . . [(vim/ NA / N / R / V / B / T / S ] <br /> [C] REVEGETATION. . . . . . . . . . . . . . . . . . . . . [ YJ/ NA / N /U/ V / B / T / S ] <br /> [C] AIR RESOURCE PROTECTION. . . . . . . . . . . [ (v)/ NA / N / R / V / B / T / S ] <br /> [C] SLIDES & DAMAGE. ... . . . . . .. . . . . . . . . NA / N / R / V / B / T / S ] <br /> [C] SUBSIDENCE. . . . . . . . . . . . . . . . . . . . . . . . NA / N / R / V / B / T / S ] <br /> [C] EXCESS SPOIL & DEVELOPMENT WASTE. . [ Y /( / N / R / V / B / T / S ] <br /> [C] OFFSITE SUPPORT FACILITIES. . . . . . . . [ Y / NA / N / R / V / B / T / S ] <br /> [C] RECLAMATION SUCCESS. . . . . . . . . . . . . . . [U / NA / N / R / V / B / T / S ] <br /> [C] SPECIAL CATEGORIES OF MINING. . . . . . [ Y / (NAB/ N / R / V / B / T / S ] <br /> (1 ) [20 <br /> — — — — — — — — — — — — — — — — — — — — <br /> (2) Spaces <br /> (3) - - - - - - - - - - - - - - - - - - - - Max] <br /> [C] OTHERS. . . . . . . .. . . . . . . . . . . . . . . . . . . . [ Y / NA / N / R / V / B / T ] <br /> (1 ) - - - - - - - - - - - - - - - - - - - - [20 <br /> (2) Spaces <br /> (3) - - - - - - - - - - - - - - - - - - - - Max] <br /> NOTE: [C] = Required Entry. <br />