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<br />MINE ID # OR PROSPECTING ID # : _ / • r ~ 6 (J ~O 7
<br />INSPECTION DATE ~/ ~ Z /~ L INSPECTOR'S INITIALS ~~
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<br />I & E Contact Address cc: /I n ~,~,w~
<br />NAME ~~.,dQ ~ ~/~~y~LZ l_Q~1C
<br />OPERATOR ~~.-cC~-e- /~~DD~rKM~rl~ 51`G1'~[, C~p,
<br />STREET ~ D. r~~' 3O~
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<br />M:MIN\OSS\fiRN\INSPECTI (10/92)
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