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• (Page 2) • <br />MINE ID # OR PROS <br />ECTING <br />ID <br />P # /'1 / Z~ /~ <br />p <br />, <br />Q <br />INSPECTION DATE (~~r' !~e INSPECTOR'S INITIALS~~ <br />OBSfiRVATIONS <br />T~'"~ ~ a ~,..,,,~ nu-' ~uc.~-urn ,~„ .~lJ 1~~ ~-+ 2: -N~-~~-~'"^.'~ <br />Co-fe ~.~.o+~-e~-.w-~° ~o ~,~.,e.,-..,~. i !mac ~-~-~ ~ ce~...Q,~...o~'~--.~ <br />a <br />I 6 E /Contact Address <br />NAME l L~,ot~CUI^ ~.w-+A-p~'~ <br />OPERATOR /~ n ,~ R G <br />STREET _~ ~ ~ / `~'~1 /a+ /~ ~~(~ ~/ ' JQ k ~ ~ O <br />CITY/STATE/ZIP '~"~-e-~~ ~W~ 6~1~ ~~ <br />CERTIFIED MAILIIZ 416942279 <br />RETURN RE_ CEI,~T_$EQUES D ~ ~ ~, <br />cc : ^ Cfi g ~ i Ra-....~.. <br />^ BL K <br />^ Ps t~,Q, ~3e x 3y~ <br />^ xw ¢ a lam- CO <br />o Sxr~Wero ccx) M ~! ~ V/ <br />^ WQCD (CH) <br />^ OTHER <br />