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• <br />• <br />Date: 14/114 /it <br />Time: 3 30 p,s,,, <br />Name of Inspector: l 2 <br />Current Panel and XC Being Mined: 4... a- X C I (o <br />Road(s) Being Inspected: r)r <br />Yes No <br />❑ Is the Forest Service road within the projected angle of draw of <br />subsidence? If yes, which road ( <br />F) ry fi' <br />❑ ❑ Is there any recent evidence of potential subsidence induced slope <br />failure? If yes, describe: <br />Notes: <br />}e"there visible surface cracks on the road? If yes, describe <br />(location, width, length, etc.): <br />Forest Service Roads <br />Inspection Form <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 />o{ aGc <br />Signature of Inspector: <br />* If any potential subsidence induced featur s are observed that could cause harm <br />to the public or operations, notify Ryan Sweetwood or Mike Peacock immediately. <br />