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n~INE ID # OR PROSPECTING ID #: ~ O~Ce • • <br />INSPECTION DATE: /^~-t -~ INSPECTOR'S INITIALS: <br />OBSERVATIONS <br />~o ate' c.cuu,.~ ~F ~~' ~---~ o..-~ .µ--~.u.~~ <br />:~. <br />~ , ~ ,, <br />~. <br />8 u ~-Q2 ~~ uo. a UU,,,~ ~~ ~(e~, c.~Q w-'a-p~-rw-' °G-`~--~-„ <br />s~~ ~~,~~,Q.e.d- <br />I & E Contact Add~re~ss <br />NAME: (' i ! nf+"~'y 1 i ~ ~ cc: ^ CE <br />OPERATOR: `-°^1`4-Q^4rl ~c~r~e-~a~'lS T~nCC- [~ c~ ~ BN, <br />STREET: ~ c ~'~ffs k/1~ ~ 'p.~~t SrOfo~'O ~'~w~d~~r MWMD(CH) <br />CITY/57ATE21P: R ` ~ l~ ~t_{j ~ O / ~ ~C/ ~OTQHER ICH) <br />