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<br />MINE ID # OR PROSPECTINGp~ID # /~~77 •- ~J
<br />INSPECTION DATE ~~~0 -q`f
<br />OBSERVATIONS
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<br />INSPECTOR'S INITIALS ~~
<br />+f•.a'~ •~~,,~ ~or~a.15 WWII be 52aled
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<br />I ~ E Contact Address cc: ^ CE
<br />^ BL
<br />NAME Luke. ~wss~ll ^ FS
<br />• ^ HW
<br />OPERATOR {~OWIL.$~ctIC.P. /2~,v„,,.n e!7 ^ HMWMD (CH)
<br />//~~ ` ^ SE
<br />STREET 1X5 Ca11~O(y\\a S~ ^ WQCD (CH)
<br />` ~{~/ ~/ ^ OTHER
<br />CITY/STATE/ZIP ~QJL Fcanc,tCa Cn / /~~O ~SIM S'~W Gns
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