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:;' <br />(PAGE <br />MINE ID # OR PROSPECTING ID #: /%'O/ /'oZ ~~ <br />INSPECTION DATE 7 <br />OBSERDATIONS <br /> <br />INSPECTOR'S INITIALS <br /> <br /> <br /> <br />~ C~~~~~~ a ^p ~.~ <br />(3t-U4>4- /L~~°~( .~~"'~"^ a.~4~ .~~n~~~i"_ a E7'k~CT'~i~- ~-a` ,h~J `~~[,o~Ctit~ /~ <br />~~`"`~" <br />I & E Contact Address <br />CC: <br />NAME <br />OPERATOR <br />STREET <br />CITY/STATE/ZIP <br />5~a9F <br />