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<br />(PAGfi 4) <br />MINE ID # OR PROSPECTING ID #: ~ ~ / o - /~ ~ / <br />INSPECTION DATfi 2. / Q 2- / 13 INSPECTOR'S INITIALS i~.~S <br />PROBLEMS/POSSIBLfi VIOLATIONS <br />AND <br />CORRECTIVE ACTIONS <br />4 <br />CORRECTION <br />DATE <br />Q~~ L/ °~ 3 <br />PB or PV <br />TOPIC(S) <br /> <br />5 <br />- -/- -/- - <br />TOPIC(S) _ _ <br />PB or PV <br />- - - -' - - <br />6 <br />- -/- -/- - <br />PB or PV _ _ <br />TOPIC(S) _ _ <br />- -' - -' - - <br />MOSS\fiRN\INSPfiCTI (10/92) <br />