Laserfiche WebLink
<br />(Page 2R~ <br />MINE ID # OR PROSPEACT~I NG ID # /%- ~~ O 7 7 <br />INSPECTION DATE /" (,~ 3I 7 <br /> <br />INSPECTOR'S INITIALS "~~ <br />aoo ~e~CJ (~J~t~.rv~/o~.,~7/+."`-o-n. ,w~DC ~"~.u~i''4~~' Q ,~~t..a~ ~a,-r~./ <br />.wo-w- ,r.,.,.~~ .~YZLS~a ~f ~-'~f /~P .~'e'~~fi~rf c~.~e~. S ~te-,c~nR..~. <br /> <br />I & E Conta~c~t/ Address <br />NAME / %Q . ~iZ <br />OPERATOR 7"'~ /~.+~~ r ~~~ n c, <br />STREET /'~/~'L.AQ.Q . ~o S I Tic}' <br />~~: o a S~ <br />° <br /> L i <br />ryuQy~~~ <br />~ <br />^ FS <br />^ Hw aG <br /> <br />^ SE V <br />^ WQCD (CH) <br />^ OTHER <br />CITY/STATE/ZIP <br />