Laserfiche WebLink
' ~ ((,Page 2) <br />y11NE ID # OR PROSPECTING ID #: F'(- S~' aTT 1 <br />INSPECTION DATE: { {-,~,g -~'1QI INSPECTOR'S INITIALS: `J~ <br />OBSERVATIONS <br />CCSC (PL.et'e~l ~ ~~'RI { f~{, (rlT5P2C`i7-'TAT OIQ ~F15 OPe/u}~tBtV T•b !2G'L~~-2La: <br />~,~5~-t2ucT'c6r.] 1°2Q62e55 ofs ~tfe TL?e ~S~e,(2:-( RA~tSe. <br />~-(ry-T- w('fiµ Ph~~ f3q-/LaeS .gam ~ie.nre rr> Ttif2 1-1-er.~p Le.q.~bl-+QA-D <br />R-RSA.. ~e e~~s~A-ero-r~ ,4-~c2~.Cae~s~n~crcoz.~ fie., c.~'z4s sr~cc. <br />q-(l+.tC.1~Le~JC +7~T'e~'Lt-s4-c.. ~ F~ T'a-e 134J2t-(. F'61~ t7ik-ren~tt-C, is <br />1~ u1~-i P~z.~ o is 'rye 9~~ sr2r~~ o+-e rs c.o-Re c~The.r2e, ~ r i 5 GRhDeD <br />~iJ~ C~cs~PA-~,~e,~. rJoT t-r.~cC(„f b-oclXe. SGa:C2 TS1Q C14°.,Y /1l7Sfk~`72L~, <br />q~,~,~ TL7~ 03Qi-Zc`-( W tt. L /a2. ~-fA7SPeCR~~ tuff-e.ss ~ Cz1a15'172UCTLOp~ <br />o ~ °rSie. R A-L S~2 t s_ c,aati,p~~ ~ <br />OPERATOR: I. 1PPGQ_ ~oo1t ~ ~l~CSi9R ~C.D ~-O, <br />57REET: P. ©, t30~ 19~ <br />CITY/STATElZIP: ~~~/2 ~ ~~©__ __ <br />~eRhk~n1 1~e.~iG-il <br />cc: ^ CE <br />^ BL <br />^ FS <br />^ HW <br />^ HMWMD (CH) <br />^ SE <br />.~' WQCD (CH) <br />^ OTHER <br />