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Date: 1 / 5 <br />Time: /t). i(k) <br />Name of Inspector: , <, / ,2 %�L /4L„i e/ <br />Current Panel and XC Being Mined: ,E-<,r 7 f( (��Z <br />Road(s) Being Inspected: <br />No <br />-� Are there visible surface cracks on the road? If yes, describe <br />(location, width, length, etc.): <br />J <br />Notes: <br />4 Is the Forest Service road within the projected angle of draw of <br />subsidence? If yes, which road(s): <br />Signature of Inspector: <br />Forest Service Roads <br />Inspection Form <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 />y <br />c% 7) <br />1 <br />.c.�� _ f . <br />* If any potential subsidence induced features are observed that could cause harm <br />to the public or operations, notify Jessica Loveland or Mike Peacock immediately. <br />