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1V <br />• (Page 2) <br />MINE ID # OR PROSPECTING ID # M' ~Q 'a.~F ~F <br />INSPECTION DATE ~ ^ (» ~I <br /> <br />OBSERVATIONS <br />INSPECTOR'S INITIALS~~ <br />v~ ~, <br />I & E Contact Addre se <br />NAME <br />OPERATOR <br />STREET <br />CITY/STATE/ZIP <br />cc <br />^ CE <br />^ BL <br />^ FS <br />^ HW <br />^ HMWMD (CH) <br />^ SE <br />^ WQCD (CH) <br />^ OTHER <br />