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s <br />RECLAMATION VISUAL INSPECTION FORM <br />Date: 2 Site /Map #: SL'- -T'6 41 c� Inspected By: <br />Location: 4C, <br />Year Reclaimed Seed Mix: <br />Dominant Vegetation: (include grasses, forbs, shrubs, warm season grasses, etc. by spp.) <br />Weed Problems: <br />General Health: <br />Xt cc2 <br />Erosion /Site Stabilization: .;�F—� <br />Notes: <br />Recommendations: <br />SAE Designation: Drill Hole _ Typical _ Flat _ Well Vegetated <br />Soil Pile — Typical _ Large _ Well Vegetated <br />