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(Page 3) <br />MINE ID # OR PROSPECTING ID #: nn-~ 9R5~29 <br />INSPECTION DATE: a~ ~g~ ~~+ ~ ~ ~(g1L INSPECTOR=S INITIALS: nay <br />the following problems (PB) and/or possible violations (PV( (and suggested corrective actions) were identified <br />during this inspection. The problems should be corrected by the dates given, or they will become possible <br />violations. The possible violations should be corrected by the dates given to reduce fheirseverity when considered <br />by the Mined Land Reclamation Board. The inspector noted on the previous page should be notified of all <br />corrective actions taken. <br />PROBLEMS/POSSIBLE VIOLATIONS <br />AND <br />CORRECTIVE ACTIONS <br />2. <br />3. <br />CORRECTION <br />DATE <br />/ / <br />PB or PV: <br />TOPIC(S): - <br /> <br />PB or PV: <br />TOPIC(S): - <br />/ / <br />PB or PV: _ <br />TOPIC(S): - <br />