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• ~ (Page 2l 2 ~y • <br />IvtINE ID # OR PROSPECTING ID #: _~ ~ - O9~Q <br />INSPECTION DATE: ~-~ ` 97 INSPECTOR'S INITIALS:_~~ <br />QBSERVATIONS <br />y~r < ~~`' <~=~~ r~a~~~ ~, ~P sus. CN~~f/\1 <br />d ~/~~ ~ ~; t f lief <br />{~-dy ~? ~ ~C'd~l-,`Of~~~r//- de~au~P d ~ 7"Gc P t~o,('~l ~y p ~ ~i 1 <br />L/~"s~( ti^zy~~j.P 7 cie ~-Y~.~~/ /~-P ~•~i--•~lP (r,..21' / ~;y,~ <br />y~-Q ~l~xeQQ~s o/-~ ~e ~ %rt~t" Gi ~ ~( ~lf ,,,..~~~ / y~~ <br />GGGG ~ /wrf fit C <br />~ Gf~~ pub r~-s w-~-e ~~ <br /> <br /> <br />I & E Contact Address <br />NAME: I~rii ~1 ~rF~s~..~ c~0/.--.w ~lllsy-~ <br />OPERATOR: ~~ LA.fl(M~ <br />STREET: _/'~D ~~~0 <br />CITY/STATE/ZIP: ~ L// b G <br />GEt i ;~ =LS 4~1;'':;L fvU. _~~ ~n 1-11 ~6 `6S3 <br />RETURN REGf=iPT REQUESTED <br />6, <br />cc ^ CE <br />^ BL <br />^ FS <br />^ HW <br />^ HMWMD (CH) <br />f~ WQCD (CH~~i~M~ <br />~" OZNER 1 <br />>I ~, <br />