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Forest Service Roads <br />Inspection Form <br />Date: V'2 -f Itt <br />Time: I - 620 A'?V- <br />Name of inspector: <br />Current Panel and XC Being Mined: li? -'L XC <br />Road(s) Being Inspected: > ?a ?.- <br />Yes No <br />?j ? Is the Forest Service road within the projected angle of draw of <br />j? subsidence? If yes, which road(s): <br />?r -ter <br />? e there visible surface cracks on the road? If yes, describe <br />ocation, width, length, etc.): <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 /> <br />Signature of Inspector:. 4??l - -- <br />If any potential subsidence induc d features are observed that could cause harm <br />to the public or operations, notify Ryan Sweetwood or Mike Peacock immediately.