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:; <br /> <br /> <br />(PAGE L~~ <br /> <br />MINE ID # OR PROSPECTING ZD #: ' / / 1 d~~~ s~ <br />INSPECTION DATE 9 INSPECTOR'S INITIALS %~ <br />OBSERVATIONS <br />.~ , .~eo-i~-,~2nz~:.~.~z . ~m.,5~""'"""~~ ~j ,,f.~e ~~oy,~~~~~`,e~ e~~°v` <br />~~~, <br />~~ ~~ a <br />-, <br />Ca . ~,~ <br /> <br />,,~~a~a~/ro-.~c~ l.so <br />~~ao, a t 7 .~ ~ ~ ~ <br />~~~~~ <br />~. ~;~ ~ c <br />~ s~.y~ ~~ <br />~ ~' <br />off- ~ ~ ~~-~. <br /> <br />I s, <br />~'~ <br />~~ <br />-~ <br />.a~~ ~. <br /> <br />~~s <br />~~ <br />e~. ~ `7~ <br />~~ ~~ ~ ~' <br />~~ ~ ~ ~~~ <br /> <br /> <br /> <br />NAME <br />OPERATOR <br />STREET <br />CITY/STATE/1IP <br />cc <br />5~a9F <br />