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<br />(Page 2)
<br />MINE ID # OR PROSPECTING ID #m-9o-d4-4
<br />INSPECTION DATE .l a tlg ~ INSPECTOR'S INITIALS~~
<br />OBSERVATIONS
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<br />I 6 E Contact Address cc: ^ CE
<br />^ BL
<br />NAME ^ FS
<br />^ HW
<br />OPERATOR ^ HMWMD (CHI
<br />^ sE
<br />STREET ^ WQCD (CH)
<br />^ OTHER
<br />CITY/STATE/ZIP
<br />
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