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. - • <br />C~ <br />/~ ( PAGE 4 ) <br />MINE ID # OR PROSPECTING ID #: q=I'~~~-/~~ <br />INSPECTION DATE b 2~ / 1 ~ INSPECTOR'S INITIALS ~,~5 <br />PROBLEMS/POSSIBLE VIOLATIONS <br />AND <br />CORRECTIVE ACTIONS <br />4 <br />CORRECTION <br />DATE <br />Q~~ L/ °- 3 <br />PB or PV ~ 1-~ <br />TOPIC (S <br /> <br />5 <br />6 <br />/ / <br />PB or PV _ <br />TOPIC(S) _ _ <br /> <br />/ / <br />PB or PV <br />TOPIC(S) <br /> <br />MOSS\ERN\INSPECTI (10/92) <br />