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c, ` ~ h.. <br />~ (Page 2) (' <br />-. <br />'' MINE ID # OR PROSPECTING ID #: -OD 3 <br />INSPECTION DATE: -(- (n Sl ~ INSPECTOR'S INITIALS:C S <br />t <br />OBSERVATIONS <br />~ ~ n /~ /] <br />t-a ~ ~x ~ r/j,.e-u.~,,J~a.,_~ yt.~,~.lQ.c~.r ~~ cam, . <br />,V ` ' ~ ~ ~ <br />.g.cN~- (.(J~e-B- GU~s~"~' ~ /~ d /~,'~d~.,~ ~,p1Q_ l~.r'~F~ <br />o <br />~u1 u~-~-e-~-, <br /> <br />I & E Conta(ct~Address <br />NAME: ~( l~n.wc <br />OPERATOR: ~~~ ~s~-yr~L~'~~ <br />STREET: h ~ ~ ~~~ ~ ~'7 <br />CITY/STATE2IP: ~ <br />e Min- t~ a~- <br />~~~C.p~ - ~~ ~ ~ ~ <br />cc: ^ CE <br />^ BL <br />^ FS <br />^ HW <br />^ HMWMD (CH) <br />^ SE <br />^ WQCD (CH) <br />^ OTHER <br />x~~': <br />f~! <br />.. <br />~~ <br />