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<br />(Page 2) <br />MINE ID # OR PROSPECTING ID #: <br />INSPECTION DATE: ~ ~ a'~- ~ B <br />OBSERVATIONS <br />C~ <br />INSPECTOR'S INITIALS: <br />'~ ~ /C)sV..el'' ~ -~{n9.. ~-{" ~M•~~^nn~i,~-}b.~, Ann ~d~nn9nnT _ -}-• <br />~~~~ ~ P a ~ ~ ~ ~ ~ . ~~~~ ~ <br />~ ~t~n~n.aQ _a~~ ~ ~ ~ ~-Q-~ 6b w~.fi <br />~Q~ ~~~ urd;9~ ~ ~~~ <br />I & E Contac((t~~Address <br />NAME: M C: ~h <br />C=C ~ `r r <br />OPERATOR: \, r-~I <br />CITY/STATE/ZIP: ~~~s ~j C ~) (/ ~~~ <br />cc: ^ BL~Z1.~Ad <br />^ FS <br />^ HW <br />^ HMWMD (CH) <br />^ SE <br />^ WQCD (CH) <br />^ OTHER <br />