|
1
<br />l1 ,, (Page 2)
<br />'MINE°ID # OR PROSPECTING IDC1# M- ~)- a~I-~-
<br />,INSPECTION DATE OZ - ~~ - q -I INSPECTOR'S INITIALS~~
<br />OBSERVATIONS
<br />~1~~rua.ev, wMdx,..~-4~1. Cv~,~vva-'~cc~,OM ~~~ Qv.c.~/J~ 11. S2s~.a..~~n 40.(~
<br />~.:a sM a - ~ ~ -`t b ' Q~nnt ~.ivt.innc~ ~ .~.c,-~.~v+ w~.D m ~.~ jo~,,,~
<br />H~~~~~~~~~.
<br />~P x ~ , o 0 0, o 0 0 -~o~ ~ ~- w~,.o .gin y~u.~. ~ ~ ~ sr ~ ~ ..~,~; ~
<br />`~'~',(~~^^t S c~-y~-e^n ~n9.-c~. -Pnc~ ti-t~,~n ~Lu..c~6..
<br />tan ~cl~ -~o nN~r,~/~.un;L -.Pr.~..e.~ c~ w~n.Q n~.o-i' a~unu,-F+.uv~.c~Q ems-} ~, ~w~ `~
<br />-~~~'~n/1~-~--I-t.9M . Q~c.c.~9-~c~nnc~ -}~ M R-` 1-(~ d.~~~-~ -E~ .n~.t~aS~ -~a~,~
<br />wt,~~'l ~~ AMC,+WYu,~nc~ wv.o h.~,c.~.u~~. ~~~.6~,vfti. ~~-o.a_ ~s~ ~unn~~,p8"'~n
<br />`~j -~e'`'r`,`cu„~ ~c"~^^~sL• ~R a,.5-enztn, _~ `~~..1Z c)nns e~. J?n.o.c~ o.nn r3~~1,
<br />~.1._ ~ -k~ • A ~a..v~n M g2 • Y[ o.nG4annh~ 5~..+ee~- -~-(~ -N~.l -~.c~Nvl.duc,~,~,a w-cn.~
<br />ta~~~ -w~ -~-~.-u~Q,~. rri ~,w~r~ (.,~ ~ Ht -tom k --~uQ ~~~..~.a~a
<br />Au.~c~~M.~ ~ l~n,D ~-c.~~nN~(~,o , -r+~ ~,e~r. ~-u.Nn~ ~ ~ wo.,o • a6'
<br />~ ~ ~ a. -~..o.~- a ti-~.d-~c~ ~ • a~'w~o,,s, ~.~2.~.~M ~-~a. o'~te~,.~a-Q~.
<br />~'-`~--~. i~ 1+,.-~ `~n.~-~,,,~.-t- eon,
<br />I 4 E Contact Address
<br />NAME ~ a H ~ ~'~. I°rR-,~
<br />OPERATOR ~ _C . ~C ~I ( Y
<br />STREET ~' C] ' L7 (~ ~~~
<br />CITY/STATE/ZIP ~~ l ~~ C~ ~ A-~ ~~
<br />~~: ~ CE~QN~~-~ S-}~-~A•
<br />^ BL
<br />^ FS
<br />^ HW
<br />^ HMWMD (CH)
<br />^ S6
<br />^ WQCD (CH)
<br />^ OTHER
<br />
|