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Forest Service Roads <br />Inspection Form <br />Date: <br />Time: 1=00 A-M <br />Name of Inspector: 2 • S? aO <br />Current Panel and XC Being Mined: 1-2- X c 96 <br />Road(s) Being Inspected: For k- <br />Yes No <br />? Is the Forest Service road within the projected angle of draw of <br />subsidence? If yes, which road(s): <br />r;> rv <br />? / Are there visible surface cracks on the road? If yes, describe <br />(location, width, length, etc.): <br />i <br />I <br />? ? Is there any recent evidence of potential subsidence induced slope <br />/ failure? If yes, describe: <br />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 />0 CL ( 0 ? <br />Signature of Inspector: _ <br />* If any potential subsiden, <br />to the public or operations, <br />ced teatutes-zffe obg-erved that-c-6-6ld cause harm <br />Ryan Sweetwood or Mike Peacock immediately.