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<br />MINE ID # OR PROSPECTING ID # M_~('1-"~.~'~
<br />INSPECTION DATE ~ - n~ - q
<br />OBSERVATIONS
<br />INSPECTOR'S INITIALS_~
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<br />I 6 E Contact Address cc: ^ CE
<br /> ^ BL
<br />NAME ^ FS
<br /> ^ HW
<br />OPERATOR ^ HMWMD (CH)
<br /> ^ SE
<br />STREET ^ WQCD (CH)
<br /> ^ OTHER
<br />CITY/STATE/ZIP
<br />
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