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• (Page 2) • <br />MINE ID # OR PROSPECTING ID #: /1/Z ~7(S- TKO <br />INSPECTION DATE: ~ -12~4fs INSPECTOR'S INITIALS: ~~ /~S <br />OBSERVATIONS <br /> <br />I & E Contact~~Addreppss I I- <br />NAME: C~C.a~,Ce 13 M-.-.S'~-~~'L- cc: ^ CE <br />OPERATOR: ~ ~.,/ ,Q„~,~.J- ~h ~ ~ ^ BS <br />^ HW <br />STREET: P-a ~^[~ ~ ^ HMWMD (CH) <br />CITY/STATE/ZIP: 1-~~~~~~Q ~f ~( ~o ^ OTHER (CH) <br />