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<br />MINE ID'# OR PF~OSPECTING ID #
<br />INSPECTION DATE' 1~ - -1 - 9 ~ _ _ INSPECTOR'S INITIALS_~
<br />OBSERVATIONS
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<br />14 E Contact Addr~e~ cc: ^ CE
<br />^ HL
<br />NAME ^ FS
<br />^ Hw
<br />OPERATOR ^ HMWDID (CH)
<br />^ sE
<br />STREET ^ WQCD (CH)
<br />^ OTHSR
<br />CITY/STATE/2IP _
<br />
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