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DaLe: /2 �' l <br />Time: `i. (( - cc <br />Narne of Inspector: /6, (a te7 <br />Current Panel and XC Being Mined: 6 - <br />Road(s) Being Inspected: . - <br />Notes: <br />1-0 <br />Are the :e any other potentially damagirg, subsidence induced <br />features on f near the road? If yes, describe: <br />// // i (._ ' -7 J _1�J6,k <br />Signature of Inspector: <br />* If ny potential su'bsidenc, <br />to the public or operations <br />Forest Serv°ce Rof_ds <br />rZ; fc For <br />is .1h=: forest Service road within tr_e <br />subsidence? If yes, which road`s): <br />c„ectec angle of <br />dra.i of <br />e there visible surface cn-c'-- s c i the road'? I f yes, describc <br />width, length, etc.): <br />is there any recent evidence of poter ial subsidence induced sore <br />failure'? I f yes, describe: <br />Is mitigation needed? If yes, list suggestions: <br />diced features �_re observed that could cause harm <br />-Ioti f y Robin Schiro r Mike Peacock immediately. <br />