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Page 1: W CU. C wttí,vw Signed by On-shift Examiner(s) Swm,m.y S m,íñv Countersigned by Mine Foreman or Equivalent Mine Official Jo*wv Cut-tow Countersigned by Operator/Agent THIS RECORD
Page 2: W CU. C wttí,vw Signed by On-shift Examiner(s) Swm,m.y S m,íñv Countersigned by Mine Foreman or Equivalent Mine Official Jo*wv Cut-tow Countersigned by Operator/Agent THIS RECORD
Page 3: W CU. C wttí,vw Signed by On-shift Examiner(s) Swm,m.y S m,íñv Countersigned by Mine Foreman or Equivalent Mine Official Jo*wv Cut-tow Countersigned by Operator/Agent THIS RECORD
Page 4: W CU. C wttí,vw Signed by On-shift Examiner(s) Swm,m.y S m,íñv Countersigned by Mine Foreman or Equivalent Mine Official Jo*wv Cut-tow Countersigned by Operator/Agent THIS RECORD
Page 5: W CU. C wttí,vw Signed by On-shift Examiner(s) Swm,m.y S m,íñv Countersigned by Mine Foreman or Equivalent Mine Official Jo*wv Cut-tow Countersigned by Operator/Agent THIS RECORD
Page 6: W CU. C wttí,vw Signed by On-shift Examiner(s) Swm,m.y S m,íñv Countersigned by Mine Foreman or Equivalent Mine Official Jo*wv Cut-tow Countersigned by Operator/Agent THIS RECORD
Page 7: W CU. C wttí,vw Signed by On-shift Examiner(s) Swm,m.y S m,íñv Countersigned by Mine Foreman or Equivalent Mine Official Jo*wv Cut-tow Countersigned by Operator/Agent THIS RECORD
Page 8: W CU. C wttí,vw Signed by On-shift Examiner(s) Swm,m.y S m,íñv Countersigned by Mine Foreman or Equivalent Mine Official Jo*wv Cut-tow Countersigned by Operator/Agent THIS RECORD

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