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<br />MINE ID # OR PROSPECTING ID #: F'(- g3•-d$~
<br />INSPECTION DATE: ~-7 -9 S
<br />OBSERVATIONS
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<br />INSPECTOR'S INITIALS: J
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<br />I & E Contact Address
<br />NAME: Pi>z.R~F-I-14RfJ T'RP,•Q,
<br />OPERATOR: 5til-nrA) <TDYLM ~OJt1 ~' ~/1d~1P1 LC-C°
<br />STREET:~~~a4 /,~yJ~ F~.,O, QAX ~Sg
<br />CITY/STATE/ZIP: F'Q-tnPLa-'~ GSA SOHO
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<br />^ HMWMD (CH)
<br />^ SE
<br />J~WQCD (CH)
<br />^ OTHER
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