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<br />o / <br />i <br />Forest Service Roads <br />Inspection Form <br />Date: at l? ) 10 <br />Time: 10! 7, U <br />Name of Inspector: lZy,?,. c- <br />Current Panel and XC Being Mined: ?L I <br />Road(s) Being Inspected: 40 // Four- L <br />Yes No <br />j Is the Forest Service road within the projected angle of draw of <br />77?^ subsidence? If yes, which road(s): <br />? Are there visible surface cracks on the road? If yes, describe <br />(location, width, length, etc.): <br />Is there any recent evidence of potential subsidence induced slope <br />failure? If yes, describe: <br />? Are there any other potentially damaging, subsidence induced <br />features on or near the road? If yes, describe: <br />? ? Is mitigation needed? If yes, list suggestions: <br />Notes: <br />511110 k/ (6 V e- AL C---) b <br />Signature of Inspector: <br />* If any potential subsidence in ed feAtqrz? are obs rved at cou cause harm <br />to the public or operations, notVyV y an Sweetwood or NUKE Peacock immediately.