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<br />(Page 3) <br />MINE ID # OR PROSPECTING ID #: M-innn-ia~ <br />INSPECTION DATE: nnn~inn <br /> <br />INSPECTOR'S INITIALS: C'I K <br />The following problems (PB) and/or possible violations (P~ (and suggested corrective actions) were identified <br />during this inspection. The problems should be corrected by the dates given, or they will become possible <br />violations. The possible violations should be corrected by the dates given to reduce their severity when considered <br />by the Mined land Reclamation Board. The inspector noted on the previous page should be notified of all <br />corrective actions taken. <br />No other problems were noted at this time. <br />