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J ~; <br />(Page 2) <br />MINE ID # OR PROSPECTING ID #~I~11~ ~~~ <br />INSPECTION DATE ~~ ~~ ` <br />INSPECTOR'S INITIALS h K <br />n <br />Urv.A fn,~-c~c~ Scnvu u/~.1. <br />I & E Cown^tapct Address n ^ <br />NAME " l C-~ ~ }~~~ ~ (~~` ~ W 1~0.J1.1~~ <br />OPERATOR /C C 7 ~(y~lY <br />STREET _T ~~`~ I~~~ ~q 1 <br />CZTY/STATE ZIP r~~ ~ ~ ~~ ~ ~ ~ ~ <br /> <br />^ BL <br />^ FS <br />^ HW <br />^ HMWMD (CH) <br />^ SE <br />^ WQCD (CH) <br />^ OTHER <br />