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<br />MINE ID # OR PROSPECTING ID # ~'OC~`^"' (,~('
<br />` INSPECTION DATE I~(Cla~ _ INSPECTOR'S INITIALS VL..Y
<br />~ OBSERVATIONS
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<br />NAME ~I(h} -J ~ ~ n ~xmy
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<br />OPERATOR ~(rrI,E~G'ANDVICTOI~GOr~Y
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<br />CITY/STATE/ZIP V f~~b R-/ w OD V
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<br />^ BL
<br />^ FS
<br />^ HW
<br />^ HMWMD (CH)
<br />^ SE
<br />^ WQCD (CH)
<br />^ OTHER
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