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<br />(PAGE L)
<br />MINE ID a OR PROSPECTING ID a: M-~D-d4-4
<br />INSPECTION DATE3 -~~ 4
<br />OBSERVATIONS
<br />
<br />INSPECTOR'S INITIALS R K
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<br />16 E Contact Address V c
<br />CC'
<br />NAME
<br />OPERATOR
<br />STREET
<br />CITY/STATE/2IP
<br />5~a9F
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