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a <br />RECLAMATION VISUAL INSPECTION FORM <br />Date: = � r� /l1 Site/Map #: Inspected By: <br />Location: -" SL.:r <br />Year Reclaimed: X99 Seed Mix: <br />Dominant Vegetation: (include grasses, forbs, shrubs, warm season grasses, etc. by spp.) <br />Weed Problems: -� <br />General Health: <br />Erosion /Site Stabilization: <br />Notes: <br />Recommendations: <br />SAE Designation: Drill Hole _ Typical _ Flat _ Well Vegetated <br />Soil Pile _ Typical — Large _ Well Vegetated <br />