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,_ <br />rr,~~ y /-(PAGE Lt~ <br />MINE ID # OR PROSPECTING lI/D # : /'I' / Q~ J~eG <br />INSPECTION DATE ~-~3`~7' INSPECTOR'S INITIALS '*F~.> <br />OBSERVATIONS <br />7, ~~~a~~~~i ~.~ ~ ,~ ~~z~:~,~.~-eat ~ oho, ~,~~~ <br />y <br />o~.e ~. <br />~~ <br />~w~~ <br />~'oo.~~>~-~ <br />~~i <br /> <br />~~~ao ~,~ <br />I & E Contact Address <br />NAME <br />OPERATOR <br />STREET <br />CITY/STATE/ZIP <br />5~49F <br />~ V ~~~ <br />~~ _ __. <br />~ iso <br />Aso ~ <br />~,~ o <br />boo ~ <br />/oo a <br />3d v <br />Sao c~ <br />~4~ <br />~- <br />CC <br />