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<br />(PAGE L6~ <br /> <br />MINE ID # OR PROSPECTING IqD #: ~"!`77 ~w°Z' <br />INSPECTION DATE ~~ 3O- /~ INSPECTOR'S INITIALS "'h'am <br />OBSERVATIONS <br />3, -+~v~..9u,~a.v~t~2 ~ ~+.o~Q- -~,ti ~oo~~.~.~~C~i' G~'-dam- ~ue~`,.~ex~a.-.,~ ~d` <br />G7 . ~.~ ~.%~.~ ~.7 .,c t7 a:~i rte/ /,,.aP, <br />~ir*~~ ,~~,,,c/~s ~~,;~ti~~2 (~ ac,~`,~-v P . /„~ 6j~ °'~ .~~rx~A,~,wo ~ lao- <br />~~~ - ~~~ <br />~~~ <br />~"~ Con ct Ad ress <br />CC' <br />NAME <br />OPERATOR <br />STREET <br />CITYlSTATEIZIP <br />.,.,,~ i <br />