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<br />(Page 2) <br />MINE ID # OR PROSPECTING QI[[D~~ # /~'~- 7~-~TCp <br />INSPECTION DATE 7-~.3~ / T <br />OBSERVATIONS <br /> <br />INSPECTOR'S INITIALS //6'S <br /> <br />a • T(, o~ri~w~,a ,~e G <br />~ ~~ ~a~~ ~ <br />~ ~ ~ <br /> <br />~'~ . Q e ~ . <br /> <br />I & E Cont~ac/tf Address <br />NAME /~tJ / <br />OPERATOR ~. <br />STREET •0. //~~ $~ '\ <br />CITY/STATE/ZIP ~ C ~ 814x7 <br />~[~ ~ 5~~~ <br />~~ C~ $14-~-~ <br />~~: ^ cE ~sai diMG <br />^ BL <br />^ FS <br />^ HW <br />^ HMWMD (CH) <br />^ ss <br />^ WQCD (CH) <br />^ OTHER <br />