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i ~ ~ i 1 PAGE 3~j~> • <br />MINE ID # OR PROSPECTING ID #: rI- 77_Z 3I /.~~( <br />INSPECTION DATE _~I r- ~ D ~ ~ ~ INSPECTOR'S INITIALS G.,/~/ <br />The following problems (PB) and/or possible violations (PV) (and suggested corrective <br />actions) were identified during this inspection. The problems should be corrected by the <br />dates given, or they will become possible violations. The possible violations should be <br />corrected by the dates given to reduce their severity when considered by the Mined Land <br />Reclamation Board. The inspector noted on the front page should be notified of all <br />corrective actions taken. <br />PROBLEMS/POSSIBLE VIOLATIONS <br />AND <br />CORRECTIVE ACTIONS <br />1 <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 />~ ~i,` ~ ~ ~ <br />n w~~~ ~' vwLc.Y a ~~C b //'v~C <br />