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<br />MINE ID # OR PROSPECTING ID #: ~- <br />INSPECTION DATE Q ~/ J ~/ q a-- <br /> <br />(PAGE Z) <br />INSPECTOR'S INITIALS ~..~ <br />OBSERVATIONS <br /> <br />.,~v-o~.a~ ~ a,V.~~s~ ~oJ, <br /> <br />I & E C''o//ntact /A~ddr~ess <br />NAME ~J~, l.~nr~l.[L-,~ <br />OPERATOR]p/"/,,,~ iY6p,~cvz~,rQ ~y.c <br />/~ , <br />STREET /; [~~. ~,-~ 3JD <br />CITY/STATE/ZIP~G6..t~Gri/.Q~ e,y Q~~s,~ <br />CC: <br />5149E <br />