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<br />MINE ID # OR PROSPECTING ID #: 3'~ - << - ~-'f 3
<br />INSPECTION DATE: '~• '"1 ' U,
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<br />INSPECTOR'S INITIALS: ~ ~ ^~
<br />OBSERVATIONS
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<br />I & E Contact Address ;
<br />NAME: (~ ,~1;2-(~T ~;Tk-i~k. cc: ^ CE
<br />~; , u'~r~/iK pp~t5 ^ BL
<br />OPERATOR: h ° D i.~ A~''~' Dsil L , l-, L . ;TkTe ~~uD QO~QD ^ HW
<br />STREET: j l J ~ rJ~~ ~ ~ O r i /`: O~ 1j i9TN ~ L.oo/Z ~ sI EMwrnD (CH)
<br />CITY/STATE2IP: `-0`--o Rf'E D O S~~ r n»S ~__`o • ~ 3I 3 Sl-,erzrlrNJ ^ OTHER (CH)
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