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Forest Service Roads <br />Inspection Form <br />Date: 3 /:?Z/l/ <br />Time: & It Name of Inspector: <br />Current Panel and XC Being Mined: a- <br />Road(s) Being Inspected: D r?' `z- <br />Yes No <br />[ ? Is the Forest Service road within the projected angle of draw of <br />subsidence? If es, which road(s): <br />?r'V T Or-?L. <br />? Are there visible surface cracks on the road? If yes, describe <br />I (location, width, length, etc.): <br />1 <br />i Is there any recent evidence of potential subsidence induced slope <br />failure? If yes, describe: <br />? ! i 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 /> <br /> <br />evwl-;4b?5- <br />Signature of Inspector: <br />'p, '?-Y?? <br />If any potential subsidence indu e fea are o rve that could cause harm <br />to the public or operations, notify Ryan Sweetwood or Mike Peacock immediately.