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Forest Service Roads <br />Inspection Form <br />Date: <br />? •r? <br />Time: 36 0 <br />Name of Inspector: <br />Current Panel and XC Being Mined: L,z-- xC ,,, ;Z3 <br />Road(s) Being Inspected: Ory F--rk- <br />Yes No <br />? Is the Forest Service road within the projected angle of draw of <br />subsidence? If y' es, which road(s): <br />? ? e there visible surface cracks on the road? If yes, describe <br />(location, width, length, etc.): <br />? ? Is there any recent evidence po en al ubsidence 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 />Notes: <br />? Is mitigation needed? If yes, list suggestions: <br /> <br />Signature of Inspector: - =? <br />* If any potential subsidence induced fea res are observed that could cause harm <br />to the public or operations, notify Ryan Sweetwood or Mike Peacock immediately.