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<br />MINE ID # OR PROSPECTING ID #: ~ 5~~3
<br />INSPECTION DATE: (Q-4-g~( INSPECTOR'S INITIALS: ~D
<br />OBSERVATIONS
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<br />I & E Contact ddress~K ~c~f P r f1-/~/}-p C (~-,q,Cr,'E. /3L'Lt (..p~/15, k ~j _J tK ~ r`te'-J~~~
<br />NAME: ~~pI~Q1LT/~~SY'RtK H~k2(C UPt~S cc: ^ CE
<br />OPERATOR: l52[j C~}~7YDa? (~ C. ,SY~re ~oSp Qo4~~ BL
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<br />STREET: ~ 13 ~ !~/3 FZ/~,~C TT ~©/~ L'~ FC~p ^ HMWMD (CH)
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<br />CITY/STATE2IP: ~~r{4kp~ SPR[~uGS ~ $pQ~ ~Vp~ ("g, ^ OTHER
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