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<br />mar,/ n p(~P7age 2~~ <br />MINE ID # OR PROS P``EIlCTING ID # / (~7~" /O7 ~7j~ / <br />INSPECTION DATE 7~~7-9y J _/~_ /-/ <br />OBSERVATIONS <br />C ross <br /> <br />INSPECTOR'S INITIALS`/9~ 1 <br />Secf~on <br />p; f <br />~, I I ~ fl'~~uviurK <br />yul 3s~ <br />Un cont~4 n9 re <br />f.~; uer <br />I & E Contact Address cc: ^ CE <br />^ BL <br />Nay ^ FS <br />^ HW <br />OPERATOR ^ HMWMD (CH) <br />^ SE <br />STREET ^ WQCD (CH) <br />^ OTHER <br />CITY/STATE/ZIP <br />