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RECLAMATION VISUAL INSPECTION FORM <br />Date: L LO Site/N 4ap #: SG- 5` 2 Inspected By: <br />Location: 0 <br />Year Reclaimed Seed <br />t <br />Dominant Vegetation: (include grasses, forbs, shrubs, warm season grasses, etc. by spp.) <br />M <br />Weed Problems: <br />General Health: <br />Erosic <br />Notes <br />Recommendations: <br />SAE Designation: Drill Hole _ Typical _ Flat _ Well Vegetated <br />Soil Pile _ Typical — Large _ Well Vegetated <br />