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(P/age 2) S
<br />MINE ID # OR PROSPECTING ID # ~- 7~~~ ~ t°
<br />INSPECTION DATE ~] -!~ -9 ~ INSPECTOR'S INITIALS J~
<br />OBSERVATIONS
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<br />cc: ^ CE
<br />NAME ~+Z, ~ L, H (~ ^ FS
<br />OPERATOR /(. rti G~2s~a3IJ2 ~~~~ ~~-Sy ^ HW
<br />n ~} ^ FIIdh2IIJ (CH)
<br />STREET /`` p, ~C~X ,T,'~ ^ SE
<br />~} `~ nn ^ WQCD (CH)
<br />CITY/STATE/2IP ~ QNT~ IIL ~7~a. C~A lz ~r~ ^ OTHER
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