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U~ (Page zb) <br />MINE ID # OR PROSPECTING ID # / !`- ~/-bq] <br />INSPECTION DATE 7-~~.-9~ <br />OBSERVATIONS <br />i 3` ~ ~G~ <br />~- <br /> <br />INSPECTOR'S INITIALS' <br /> <br /> <br />I 6 H Contact Address <br />NAME <br />OPHRATOR <br />STREHT <br />CITY/STATH/ZIP <br />Cc: ^ CE <br />^ BL <br />^ FS <br />^ HW <br />^ HMWMD (CH) <br />^ SE <br />^ WQCD (CH) <br />^ OTHER <br />