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<br />MINE ID # OR PROSPECTING ID # - _
<br />INSPECTION DATE ~~ 1 O 1 ~ ~~ ~ INSPECTOR'S INITIALS~~
<br />OBSERVATIONS
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<br />I 6 E Contact Address cc: {( CE J ~') C'~ S"~(,~(ESR}.s
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<br />NAME ~, (1 Y i 0 l T1TP t't'~/YVl RR~,Y~~ ^ FS
<br />~ ^ HW
<br />OPERATOR ~ ~ ~~~ 1 (~ ~ (^r I 7~ t~%~ C ^ HMFiPID (CH)
<br />STREET ~~(~ ll~ ~.~~ /}`-'~\-Q nA(a~t 9 ^ ^ SWQCD (CHI
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