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,_ <br />„„,, /(PAGE 2) <br />MINE ID # OR PROS PECLGT I,NG ID #: /%`7 ~-/~~ 7 <br />INSPECTION DATE ~/~/ 9~ INSPECTOR'S INITIALS ~_ <br />G, a,,,,g4~~~~Q /`,f~~ ~S.ta~.(p~/n/.C~/~~~l~~~/ ~,rj ~Y//~Qy~~//~-/7Jt¢,~~//~~~""°"~".A~~ <br />.~` CJ~"1s.~^~~1' .~)'~//""c ry~.~"^~!/! V~(- /~""'""~'/(~Z/LQ ~ ./C/` ~j """~ L <br />C/~ c~,~.,~,1„ <br />~~~ ~ <br />A i <br />I & E Contact Addre5Sl/""°"` ~"° /~'~( ~d~~~ ~ °~d~~~'~~ <br />NAME ~~ /.-~n, <br />OPERATOR o~ <br />STREET <br />CITY/STATE/ZZP <br />M:MIN\OSS\ERN\INSPECTI (10/92) <br />