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4 ' <br />i <br />(PAGE 2) <br />MINE ID # OR PROSPECTING ID #: ~"1' - g O - ,'~. Z} 1~ _ <br />INSPECTION DATE 1L~ llf_lg L INSPECTOR'S INITIALS %p~- S <br />OBSERVATIONS <br /> <br />& E Contact Address <br />PERATOR <br />CC: <br />STREET ~D, /~a7~ ~9~ <br />CITY/STATE/ZIP (~li~.rl CC7 R01Z~n0 <br />5149F <br />