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<br />MINE ID #~ PP.OSPECTING ID #: ~, ~6 L 'O~~
<br />INSPECTION DATE: ~~-~~ -q~
<br />OBSERVATIONS
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<br />INSPECTOR'S INITIALS:
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<br />I & E C ntactt Amddress ~ ~tv ~5~~ ~ to ~~9 `_ ~ 1 ,~~ `,.` ~,~
<br />NAME: NI Y'. ~1~/i... ~U>C~ ~T- V~P~''r~l~`"cc~^ CE
<br />^ BL
<br />OPERATOR: ~~nn.~fi ^ FS
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<br />STREET: `~. Or Drs x ~~~ ^ HMWMD (CH)
<br />CITY/STATE/ZIP: ~ 'r~..,,~J , CO ~ / SL ^ OTHER (CH)
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