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RECLAMATION VISUAL INSPECTION FORM <br />Date: 26 ; dlo Site/Map #: _1-cRA5 7- Z— Inspected By: <br />Location: — <br />Year Reclaimed: Seed Mix: 4 <br />Dominant Vegetation: (include grasses, forbs, shrubs, warm season grasses, etc. by spp.) <br />Weed Problems: , , r� <br />General Health: <br />Recommendations: <br />SAE Designation: Drill Hole _ Typical _ Flat — Well Vegetated <br />Soil Pile _ Typical — Large — Well Vegetated <br />