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• ~,/ o~ (Page ~) <br />MINE ID # ~OR PROSPECTgZNGgI/D # /~/~ 90' ~~~ <br />INSPECTION DATE ~~ / -/ 6 INSPECTOR'S INITIALS <br />OBSERVATIONS <br />~a~<~~,<Lf,/~~ ~~a1r~J ~ yo ~~ ~ o~ Tom- ~u/~~v~~ ~o <br />~v 4G~~JvI i~ c~rcC~,~ C ~4~~T~~ t~-I~SL~ <br />~~GQmQ!/bK ~o.-/ <br />~~aKfib~'i~ ~ r~~rc ~ -ff.~.f <br />cr~ t a e/~ ~Ur rr~ lQ~ dT/'b~. <br /> <br />"' P~ fec~ <, Qr <br />co <br />~ , ~"~ v <br />~i9) ~,oV,~2 ~n~uV' -~a <br />C.ar~'~~ /b14i I <br /> <br /> <br />.) <br /> <br />J ~ I K_ 1~ec,rGM.Q/ ~Zk ~A ~ / /+ <br />Ouu.~ ..L /~ ~ 1T °''~ Q`~ f~eaSL Pt~N ~ C~iT o`-~ ~ ,~ia~ ~/ <br />CO/`~ ~' ~' /r~o--f-- °,~ rc1e~G'rL~+'ta..~f ~,~~~'C ,f~ rcF~cw,~'//vv, ~~7dr. <br />C~tr~G "/~~~ W~~'t.-~ c~on~~i'in~ 0 7J <br /> <br />I fi E Contact Ad re a cc: ^ C6 <br />^ BL <br />NAME ^ FS <br />^ HW <br />OPERATOR ^ HMWAID (CH) <br />^ S6 <br />STREET __ ^ WQCD ICH) <br />^ OTHER <br />CITY/STAYS/ZIP _ <br />i <br />