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r • (PAGE 2) • <br />MINE ID # OR PROSPECTS//NG ID #: ~ 63-U ~3 <br />INSPECTION DATE DCTD~er oZ3 ~ ~ 17c~- INSPECTOR'S INITIALS ~ 7~".~ <br />~' <br />OBSERVATIONS <br />~` ~ <br />~~°~ <br />gas q a,~ a~' a ~~~,. ~~ <br />Vb ~ <br />-. <br />cc: <br />I S E Contact Address n ~~~ <br />NAME v~ O// Y//~'Y~ ~/ //"~'~' ~/••( l7 <br />OPERATOR ~"'^~ ~~~ ("~ a~/ /~ ` ~, ~~~ <br />STREET 7gg..$~ ~~(LNC.F /~~i~ `QJ ~U1 0, a~.S~/J `~//~Gr-J <br />CITY/STATE/ZIP ~--`~ goC~o3 <br />i <br />M:MIN\OSS\ERN\INSPECTI (10/92) <br />