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i <br /> For The Following Entries, Circle The A ror fate Choice: <br /> Y = Inspectedan foundin comp lance, <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 / NA /©/ R / V / B / T / S ] <br /> [C] SIGNS AND MARKERS. . . . . . . . . . . . .. . . . [0 / NA / N / R / V / B / T / S ] <br /> [C] ROADS. . . . . . . . . . . . . .. . . . . . . . . . . . . .. [ Y / NA / N /QR / V / B / T / S ] <br /> [C] HYDROLOGIC BALANCE. . . . . . . . . . . .. . . . [ Y / NA / N /0/ V / B / T / S ] <br /> [C] BACKFILL & GRADING. . . . . . . . . . . . . . . . [(D/ NA / N / R / V / B / T / S ] <br /> [C] EXPLOSIVES. . .. . . . . . . . . . . . . . . . . . . . . [ Y / NA )0/ R / V / B / T / S ] <br /> [C] PROCESSING WASTES. . . . . . . . . . . . . . . . . [ Y AS)/ N / R / V / B / T / S ] <br /> [C] SUPPORT FACILITIES. . . . . . . . . . .. . . . . Y / NA / N / R / V / B / T / S ] <br /> [C] TOPSOIL. . . . . . . . . . . . . . . . . .. . . . . . . . . Y / NA / N / R / V / B / T / S ] <br /> [C] GENERAL MINE PLAN COMPLIANCE. . . . . . / NA / N / R / V / B / T / S ] <br /> [C] FISH & WILDLIFE.. . . . . . . . . . . .. . . . . . [OY / NA / N / R / V / B / T / S ] <br /> [C] REVEGETATION. . . . . . . . . . . . .. . . . . . . . . [ Y / NA / N /®/ V / B / T / S ] <br /> [C] AIR RESOURCE PROTECTION. . . . . . . . .. . [O/ NA / N / R / V / B / T / S ] <br /> [C] SLIDES & DAMAGE. . . . . . . . . . . . . . . . . . . K3Y / NA / N / R / V / B / T / S ] <br /> [C] SUBSIDENCE. . . . . . .. . . . . . . . . . . . . . . . . [ Y / NA / N / R / V / B / T / S ] <br /> [C] EXCESS SPOIL & DEVELOPMENT WASTE. . [ Y / NN / N / R / V / B / T / S ] <br /> [C] OFFSITE SUPPORT FACILITIES. . . . . . . . [ Y <D/ N / R / V / B / T / S ] <br /> [C] RECLAMATION SUCCESS. . . . . . . . . . . . . . . [ Y/ NA / N / R / V / B / T / S ] <br /> [C] SFECIAL CATEGORIES OF MINING. . . . . . [ Y / NA N / R / V / B / T / S ] <br /> (1 ) - - - - - - - - - - - - - - - - - - - - [20 <br /> (2) Spaces <br /> — — — — — — — — — <br /> _ _ _ _ _ _ _ _ <br /> (3) - - - - - - - - - - - - - - - - - - - - Max] <br /> [C] OTHERS. . . . . . . . . . . . . . . . . . . . . . . . . . . . [ Y / NA / N / R / V / B / T ] <br /> 20 <br /> (2) — — — — — — — — — — — — — — — — — — — — <br /> - - - - - - - [Spaces <br /> — — — — — — — — — — — — — — — — — — — — <br /> (3) Max] <br /> — — — — — — — — — — — — — <br /> NOTE: [C] = Required Entry. <br /> f•'�TI <br />