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MINE SD # OR PROSPECTING ID # IY1"-I F~-n~.~ <br />INSPECTION DATE ~~ -'~ - ~ ~ INSPECTOR'S INITZALS~~ <br />OBSERVATIONS <br />~` ~~~1 ~ -~ .~N,n~~,c-fin ~ 1-.~ ~~-~~,,n~ .9~~ <br />~n~4.,c~ ~ ~ ~~~~ . <br />~i`s,-~'~^^~ ~ ~. -cn~~.~-i.BM ~ve~.9.. m ~~ J -e;v~..~ ~~~i can ~- <br />I~ ~ . 5+...~,~ c. Lo.,n r~a.~, o-tic~ I'~ ~Z ~an~a. ~.1 ~,M~,a,~~uv~ ~}-~.~ ~,e^.~,~j~'S <br />~ -Q-s-c.«i-~e~ t+~,~ ~,l ~ ~ ~o~,-}~.,,. ~b -~c~p c~,cc'~ .~,~,c~ ~J ~ <br />1 t-wt~,o cQ -I-~n,~.~--~" i-~-L v-1zc'`'`~,.~5-e'~2ti~Qk ~. <br />-tu,~~ . <br />I & E Contact Address <br />NAME ~'f't~ C LI Al A A-lJ.. <br />OPERATOR <br />STREET <br />^ BL <br />^ FS <br />., HW <br />HMWFID (CH) <br />SS <br />WQCD (CH) <br />OTHfiR <br />m o~ ~ i <br />CITY/STATE/ZIP ~(aAC'7~~~. C~1 671 ~( <br />