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~j (Page 2) <br />MINE ID N OR PRs75PECTING ID #: / r0 9 <br />INSPECTION DATE: ~ /9 `~ <br />OBSERVATIONS <br />• <br />INSPECTOR'S INITIALS: G ~S <br />~ r~ <br />-frQ.e ~-~, a,c.c~-tea. ,n.~-~ , ~ ,C.~ ,rte-~-;, a ~Gt.~..l. ~ ,A .a~,u.~'. ~~-~e a.~~.o~ <br />wH-rr-~~ rKa~a~..a-Y A~o-ct-~-r~~{-~e wa~.zw-,e,. ~a-~-'~, i,~e r~-~-~=~ ate, -~e <br />``r`te .~-~ q~ -~/~e ~.%F ~o c.~v V ~„~ (-~-~ ~~-~..~~ <br />/~,,~ ~ J ~ i ~ ~ <br />„~ __~"' ~e~.ao,.P a~-~- s,o-~.t.G~-`~-l~-c_ r1-(~,t,,,~ ~-~l-~w, l <br />~.~.~ <br />~,t.aq,~-c.e-n uJ a/o- ~ ~yo~G~,~ ~i.~,,.` <br />~;-, <br />B'~°""n`P ~,~-~" 02.E i ~ 3 , r, ~ C~) ~-t ~ ~ ~ <br />of~.} ~D~-~rvr/~s-~-~OQp~~~~~;a 4~~ti~~ w.~-;dam-.,f;~eA ~~-~-1.~- <br />~y{~ ~1 r-UJ a..` !~ tc ~ o,.+~i A T 1 '6~J - I rG-r~ ~ / <br />` ~(/ E ;~.a-V~-°^++~ W aN- ~2*0 o2~u .~-ro.~+-Q.~ e't -f-~ <br />Lwu~a`.~'"` r <br />I & E Contact Address <br />. C' ~ - ~a~-C ~ ~ ua f-- ~ IYJC-l <br />NAME: j ~L ~ ~ L"Ai~~~ ~~ l~°wa~~-r~'l cr. ^ CE <br />/' ^ B L <br />OPERATOR: L, a t0. ~c'g,->Z-~ ~e--S~~^-r )~0{~~ ~~ [11q~,~; ~ ^ FS <br />STREET: Pd ~ ~r~ 3 Co !~ r ~e,,, „r tr~~ S~ ~~/3-~ (~ . ^ HMWMD (CH) <br />A ^ SE <br />CITY/STATE2IP: (~t/lD 6~ ^ OTQHER(CH) <br />