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MZNE ID # OR PROSPECTING ID #: ~ -~ 77'a' 1 / h <br />INSPECTION DATE ~ '~~ ~ 7 ~ INSPECTOR'S INITIALS J L L_ <br />PROBLEMS/POSSIBLE VIOLATIONS <br />AND <br />CORRECTIVE ACTIONS <br />CORRECTIVN <br />DATE <br />4 . F,r ~ s rr ns~ ~~., Sriv. no FMt~ICr~#/ Ll~4RRA~JIY ~ Q/~ 'Z/~ ~3 <br />Q6hfh l/J~DeQ~i}-Y'P F'UJQ F'r1~~4~L Q2~C'.G/4HIF77o~ PB or Pv~~ <br />TOPIC(S) ~JSJ <br />11`10 12e,~ S~ F/nJg~te r!4-L (~~3RfLA+ITTY ~OA7A - -- - - - - <br />TD ~ / Qi a60.6 0 . <br />s. / / <br />PB O~ PV <br />TOPIC(S) <br />6. - -/- --/- - <br />PB o;: PV <br />TOPIC, (S) <br />MOSS\ERN\INSPECTI (10/92) <br />