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<br />~ ~ ( Pia/gte/ 2 ) <br />MINE ZD # OR PROSPECTING ID # CYI ~~' ~ `~~}- <br />INSPECTION DATE ~ ' ~ r~ q r <br />OBSERVATIONS <br />INSPECTOR'S INITIALS <br />~ .-~O~ ~l ~c~ ,~Qa~'.~a -hj '~, /d-~cl.i~,~u,v~~ c-c»'r{u,P~ <br />-~,~„n~ r~nsu~.~~ o-r~ cep-~--~-~~ °-~-c~,a ..~.~ <br />~ -+ ~ . O ~ caw, ~Q ~,~,~;L ~.-c,~, k a--~ s wz..~ ~ <br />I ~ E Contact Address <br />NAME m R f'r~rP n( ~e. p iQt f1'~ ~ <br />OPERATOR CC V ~}-\I <br />STREET ~ ~ ~ ~ ` n X ~ I Q~ /' <br />CITY/STATE/ZIP \I ~ C_ ~Q~ r1C~~Vl(~ <br />cc: lq CE ~C3/NA,Q1j S'~r-N\/J <br />^ BL <br />^ FS <br />^ HW <br />^ HMWMD (CH) <br />^ SE <br />^ WQCD (CH) <br />^ OTHER <br />