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For The Following Entries Circle The A ror fate Choice: <br /> nspec a an on �n comp lance, <br /> u <br /> NA = Inspection Topic not applicable, <br /> N = Not Inspected, <br /> R = Inspected and Comments noted, <br /> V = Inspected and Violations (NOV) or Cessation Order (CO) issue <br /> B = Inspected and both Comments noted & Violations or Cessation <br /> Order issued, <br /> T = 10 Day Notice Issued by OSM Oversight Personnel , <br /> S = Sample taken and sent to the lab from analysis - describe <br /> type and location of sample taken under comment section. <br /> GENERAL INSPECTION TOPICS: <br /> AUAILABILITY 0—T RECORDS. . . . . . . . . . . [ Y / NA /CG/ R / V / B / T / S ] <br /> [( ] SIGNS AND MARKERS. . . . . . . . . . . . . . . . . [ / NA / N / R / V / B / T / S ] <br /> ROADS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . [ E)l NA / N / / / <br /> (�] HYDROLOGIC BALANCE. . . . . . . . . . . . . . . . [ Y / NA / N /®/ V / B / T / S ] <br /> [�) BACKFILL & GRADING. . . . . . . . . . . . . . . . [ Y / NA / N / R / V / B / T / S ] <br /> NA N R V B T S <br /> �(;] EXPLOSIVES. . . . . . . . . . . . . . . . . . . . . . . . [0/ / / / / / / ] <br /> [C] PROCESSING WASTES. . . . . . . . . . . . . . . . . [ YO/ NA / N / R / V / B / T S/ ] <br /> [C] SUPPORT FACILITIES. . . . . . . . . . . . . . . . [ Y / NA / N / R / V / B / T / S ] <br /> [C] TOPSOIL. . . . . . . . . . . . . . . . . . . . . . . . . . . [ Y / NA / N /®/ / <br /> [C] GENERAL MINE PLAN COMPLIANCE. . . . . . [ Y / NA / N / R�/ V / B / T / S ] <br /> [C] FISH & WILDLIFE.. . . . . . . . . . . . . . . . . . [ Y / NA /C / R / V / B / T / S ] <br /> [C] REVEGETATION. .. . . . .. . . . . . . . . .. . . . . <br /> [ Y�/ NA / N / R / V / B / T / S ] <br /> [C] AIR RESOURCE PROTECTION. . . . . . . . . . . [ Y7. / NA / N / R / V / B / T / S ] <br /> [C] SLIDES & DAMAGE. . . . . . . . . .. . . . . . . . . [ Y,/ NA / N / R / / <br /> [C] SUBSIDENCE. . . . . . . . . . . . . . . . . . . . . . . . <br /> [ Y / NA / N R / V / B / T / S ] <br /> [C] EXCESS SPOIL & DEVELOPMENT WASTE. . [ Y / NA / N /C/ V B T S <br /> / / / ] <br /> [C] OFFSITE SUPPORT FACILITIES. . . . . . .. [ Y / NA / N /C / / / S ] <br /> [C] RECLAMATION SUCCESS. . . . . . . . .. . . . . . [ Y / NA / NN V/- R / / B / T <br /> [C] SPECIAL CATEGORIES OF MINING. . . . . . [ Y / NA- / N / R / V / B / T / S ] <br /> [20 <br /> (1) - - - - - - - - - - - - - - - - - - - - Spaces <br /> (2) — _- - - - - - - - - - - - - - Max] <br /> (3) - - _ - - - - - - - - - - - - - - _ — <br /> [C] OTHERS. . . . . . . . . . . . . . . . . . . . . . . . . . . . [ Y / NA / N / R / V / B / T ] <br /> [20 <br /> (1 ) - - - - - - - - .- - - - - - - - - - - - Spaces <br /> (2) - - - - - - - - - - - - - - - - - - Max] <br /> (3) - - - - - - - — _. - - - - - - - - - <br /> NOTE: [C] = Required Entry. <br />