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<br />MINE ID # OR PROSPECTING ID #: M 9 / - n-S
<br />INSPECTION DATE: G`.~O'~
<br />OBSERVATIONS
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<br />INSPECTOR'S INITIALS:
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<br />I & E Contact Address 6 / U UU
<br />NAME:
<br />OPERATOR:
<br />STREET:
<br />CITY/STATE/ZIP:
<br />1
<br />cc: ^ CE
<br />^ BL
<br />^ FS
<br />^ HW
<br />^ HMWMD (CH)
<br />^ SE
<br />^ WQCD (CH)
<br />^ OTHER
<br />
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