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<br />MINE ID # OR PROSPECTING IDp#: ~'(•-~Qr~`f'-II3
<br />INSPECTION DATE: g-a-F -OO INSPECTOR'S INITIALS: ~LJyS~J
<br />OBSERVATIONS
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<br />I & E Contact fCd`dresss~P~' °^s 7'``'~'~ u3Q'ST S 1 t1Q a(Z ,"~ ~~ f;/((~ rj
<br />s'ftve u~`l
<br />NAME: ~w44~ Sp-(64'Y~ cc: ^ CE
<br />^ BL
<br />OPERATOR:'tQ. R6/a-a~R D¢Je.LaWAi~ 1.c.1C ^ HW
<br />^ HMWMD (CH)
<br />STREET: ~,~. L~ b 9C ~ g7 ^ SE
<br />CITY/STATE/ZIP: Y'2,LLL2RDQ~ C®-~ g~4'3~ ^ OQER(CH)
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