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(Page 3) <br />MINE ID # OR PROSPECTING ID #: <br />INSPECTION DATE: INSPECTOR=S INITIALS: <br />The following problems (PB) and/or possible violations (PV) (and suggested corrective actions) were identified during this <br />inspection. The problems should be corrected by the dates given, or they will become possible violations. The possible <br />violations should be corrected by the dates given to reduce their severity when considered by the Mined Land Reclamation <br />Board. The inspector noted on the previous page should be notified of all mrredive actions taken. <br />PROBLEMS/POSSIBLE VIOLATIONS <br />AND <br />CORRECTIVE ACTIONS <br />CORREC110N <br />DATE <br />1. ~ ~ <br />PB or PV: <br />TOPIC(S): <br />Corrective action: <br />2. ~ ~ <br />PB or PV: <br />TOPIC(S): - <br />Corrective Actions: - - - <br />