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• (Page 2) • <br /> MINE ID # OR PROSPECTING ID #: M- 11— s13 <br /> INSPECTION DATE: 1 —q — INSPECTOR'S INITIALS:_ <br /> OBSERVATIONS <br /> � ) s p SQ T to ►.t o� 1�n r`) M,@6 w <br /> LA-9-(r-u tea (OREIM - -A o NI r_o c_� a In wit <br /> o Pv�E�,Lp CZ LC)e "o Prt-o NL U- } N Ur,n-fq sro�-S 9 \--t ls�. <br /> _ "-krl(',,.% -WC MQ . MA-R_K ICLU-I G <br /> o f Pu �6t✓o �smts �i m � �. <br /> St�LSQ�LiL�A VAC �c�t c7 t5 iAAe 0� A t LO+�� fit? '?kjL'rtkLL�I <br /> h� L u3tSLL 66-6 lAta • -kAAE R-c-6S's 20 rt-,b Ao firn 6S t� Lh-A(-E 5 w I LC <br /> S&Z I Nj(r �tZw SZ Q S� 1bR '4FUS1°tac� <br /> 1TL 'S?&-T l film= Wit y t-�- k C_+t\j m t ►.4 , N U � rt rt S e PrSL L�s1't . <br /> UJftS I'� C1 L l 1M� O tt �1SPL loN• HE SLLZtj <br /> vs ij LJ� )a\1 Q uvt-L &*-s A-o No E Fes.N c'r por t I ri v- P�-s b Est (-T-�tra <br /> to 1Lltk-AGG . NC-+\,--t C- m'Z-o <br /> e 'Am-,s 96�-Jyb> N o m r (Z razz roLs"m Koh . <br /> t \0 G�Ue 7W-0 Lft&FQ-- o L.sS a s roc>:P) L-6b M ft�' -L �Q - +o CT <br /> l.J C`st 1\10t+M S t .D E o n ttn r �>E2m I T VNJ 6A R, -tAA a M Al n l <br /> NCtSS `-old ' o -tV\ F- Q fLo Pt -1 9 No p20 leu6m Notoz <br /> -rv\ C C..DK C. -z I C b tMt-rA K-8A - CN S M A�LL <br /> 70 t�1 T-D'�Z- ttA C V-t r\� t S t S S L>u) Lam( F 1 l_t_.1 I'`l LJ U `c_M 9 itN 1Cm Q,t <br /> VJ Qom- &tpi o L-E � t-J o �: ZO 10 udyy\ N o*ez <br /> 5ACT- \LS k W K-K-En-s wt!NI � CZo ? E�2--`j <br /> I & E Contact Address <br /> NAME: M }��K Y- U t t\J � cc: U7 CE J-WffS S S <br /> _ �j B L <br /> OPERATOR: L M L � W-- 4n0r�Lll WG ❑ ES <br /> Cl HW <br /> STREET: SYL YS t CL 6 W 5+ ❑ HMWMD (CH) <br /> ❑ SE <br /> CITY/STATE/ZIP: �I ) �?Q�( C i1 2, ! t1 ❑ WQ HER (CH) <br /> J9�1oo—� I �b�� ❑ OTHER <br /> i <br />