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<br />MINE ID # OR PROSPECTING //ID # ~~~I ~~ ~~~
<br />INSPECTION DATE 6/2~yt!
<br />INSPECTOR'S INITIALS
<br />~7 OBSERVATIONS L~'Q '~„p~71 ~~
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<br />I 6 E Contact ddA ress cc: ^ CE
<br />^ BL
<br />NAME ^ FS
<br />^ HW
<br />OPERATOR ^ HMWMD (CH)
<br />^ SE
<br />STREET ^ WQCD (CH)
<br />^ OTHER
<br />CITY/STATE/ZIP
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