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MINE ID # OR PROSPECTING ID #: ~~/~~~v " 1 <br />INSPECTION DATE a-~~-9~ <br /> <br />INSPECTOR'S INITIALS ~ S <br />The following problems (PB) and/or possible violations (PV) (and suggested corrective <br />actions) were identified during this inspection. The problems should be corrected by the <br />dates given, or they will become possible violations. The possible violations should be <br />corrected by the dates given to reduce their severity when considered by the Mined Land <br />Reclamation Hoard. The inspector noted on the front page should be notified of all <br />corrective actions taken. <br />PROBLEMS/POSSIBLE VIOLATIONS <br />AND <br />CORRECTIVE ACTIONS <br />1 <br />f <br />~! <br /> <br />2 <br />CORRECTION <br />DATE <br />Q~/aS4~ <br />PB or PV <br />TOPIC(S) ~ <br /> <br />/ / <br />PB or PV <br />TOPIC(S) <br />3 <br /> <br />/ / <br />PB or PV <br />TOPIC(S) _ _ <br /> <br />