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<br />(PAGE 4) <br />MINE ID N OR PROSPECTING ID Jt: ~ - g ~ - C1 Q 2- _ _ <br />INSPECTION DATE 1 O l~ ~l~ ~ " INSPECTGR'S INITIALS ~ p Q <br />PR06LEM5/POSSIBLE VIOl4TI0NS <br />AND <br />CORRECTIVE ACTIONS <br />a <br />5 <br />6 <br />7 <br />CORRECTION <br />DATE <br />2~S <br />~~~ / 9~ <br />PB or PV ~ 6 <br />TOPIC L¢ L{ <br />/ / <br />PBor PV__ <br />TOPIC _ _ <br />/ / <br />PB or PV _ ^ <br />TOPIC _ _ <br />/ / <br />PB or PV _ _ <br />TOPIC _ _ <br />5149E <br />