|
•
<br />(PAGE L)(/`T,
<br />MINE ZD # OR PROSPECTING ID #; H- ~~-~~„Z
<br />INSPECTION DATE ~ ~ -~ j ~ INSPECTOR'S INITIALS ~ IJ
<br />OBSER~ p
<br />TH2 PuRPoS~ ol= TFJ-/5 l1JSPeCTIO~J ~'!f-S Yb crQS~Rc~e ~Tjfe, r°~206kesS
<br />OF, ~'+ti`a 'iTfe R-~Tlorr^res RzcrfTe~ ro}i!-1e iNST/.1-GLyn7lonS' OF 77'f2.
<br />C.LgY Cr1n?ei2 r1.;STif~,LS}T7Gi~; ~r T1fe dLDP/= G~/7err,g,~~q,~e
<br />r ti 5ik~j-LLi~T( o/L; d F ih=~ C H,r3/~1-/JK HewJ i I2H 1SQ~ fA,"ST/+-GL.ft-Tlo,~ ~oF 9~F~
<br />p12F1-1t313.6e /3LA-ukeT ~ktilD Rerlcr~~7-L of r1s~Tet2rN-L F,rZo/'1 `i7Fe
<br />13of2Row ~}2eA. Ins A~fJpl7tcNr 2 TcroK ~} l3Rr~zr -r-act,n pyc SK2k S
<br />/~pr'1,T1N31~, i r2s5" LA-Ci `ra Re.utze,~ v[.pPr? 6eorre.N/~r2.q-r.T~
<br />Iles i~2.ue`~ 1ue ~s~ Re5U,t_.TS, r3aR~au,~ rrq-T~Rr.~C. Gr2~Dy+-'rr~N
<br />)2e,5u.c.-T'S /}OJfJ pan)5rp'Y ~-n1D Pe.12>`te~4~31e.rrY Teri ~'~'Skc.T.~,
<br />r''I Z`t' W NTH /i-C.l!I-ni/-~ Sic Y'7" /~Y' `Z'!~ H,r.}1N G1=/=lce, .8 ~! f LblNG R~ R/30u T
<br />$',~o '4'r`'1 A,v,~ BRter'LY IJ1SCr.r.$SNI~ Tb-6e FUP.POS~ o-F HY ~N'SPeeTlonl'.
<br />F~rLFF-/J~7- R-ND Z Al2~tT~ i'O TN-e r~3o!?'T/~y'i~STC°,CY2l`~P. cN~TF{{~
<br />TiI=}lC.1ti65 brsPosl4L <S/2.e•tl. AS !{'Lf~-ilTl-f (~q-D S•7~f?-7L~~1 e'_KCt~'.Pr!' 1=G1~
<br />f~ JIZiRr-~'r1~t16 Srra-aTlf Roi.Len. n~~-KW6 r'1- f=1~?S! P.~55 ou~eR, .r+nl
<br />~} 2 e f1 G +~ Tkl~, e N-ST' S I p~ a F r 1{e ! tr P a u ~.1'D rte.v~'r ~T'E{e,2,r, uTe 2 e N G
<br />~q-cYr~rTreS A~T'~ Sere. /~-Lr~~4 5~4ttJ /3n 2Z !S ~v.;~lTlrv~
<br />1Je.Lltrz/2`P c7F TFf2 2e.s;~ oFTl-1-e 6E„c~rrel7n~P,,q~e /3~i=oYZ~ Y"l4V'Y
<br />12fz,5NMQ LlNe~ flliSYI~LL/9-~e~; e~F'eR~SI~OtiS, "i la.e c.l~.r~,p~
<br />r~5q'fl-LLe D c%f~ 7'N~e. l~"oPTI~ sr b~ a~ Ttf~ r fi PauNCrHe~ ! 5 RRr3/~Rt.~
<br />S2.CU.R.e.~ rau ~u ~}nicl+aR.A i72zn5eµ wrT>•+Tt1Z ~.c-o~:e ~zvb~ Gc:~e,¢eb
<br />wr7'N s.~Iasb~~6s, `7'Fre Lrr.=aR oa THe s~u.~t~r-t srt~` r-I-aS l3,ee.u
<br />C, o~: e. rt.re. ro ew r Tl•+ Tl~ D R/-t1tJA~e. /3 Lr~'KfzT ;
<br />We (~ft~u'e `.'D M1a¢ Qr1r3~'4riKner->i ~tnsD lJr5eu55er~ J'i4e PRc~vl2esS eF
<br />//JSTX+t-Lrcvco "rFft? k.AISE? , /}L/~~V/} sfa-rrJ G/'e2s~Tton1$ e.lPe.R~,
<br />,d6~u.sPan3raCi> 13cZCr+uS.e 5~3e. JrtJISrOr.1 Pa>,.r5ep 5~2.JeRaiLCyaz~7l~vJS
<br />Ar30+..~,T ~He r-r ~Te,xt,~A'r-. TN/+T c~ra-S ~3ei,.}G usep t~Fi' 7'N c? SI7~ ,
<br />,~. ~ WT1 A r1 a rsTt c nr~D ~ r-r 2 ~ ~.: i- 5 Pte P~-/~t 1 ru 6 r+ Ru r'o ~ r /+N' -J
<br />p2cpo~-G F6J¢ 'TF-Nz. iJtvlSiOti TFf~+T' (.~~uc.t, .y-DDR-e55 r f-Fe
<br />I & E Contact Address (D`urstc~..s H.45 2e.~A-R.t~//J~ TL(e. erti3pr~}Krter,}T RND
<br />NAME ~I-L~~-~I~- ~~~l 7 n CC: ~.Ifr"I S'Te:."C?nl.S
<br />OPERATOR~~A-TTLen~/16ua115~'XF1A3 /{QSGU.~CC' Yi5 /~; L~ U/=/~LeI?
<br />STREET ~~~. /~7pX 3fE~
<br />CITY/STATE/ZIP 5l41~ LLt,/5 ~~~<i`3cp
<br />5ta9F ~
<br />
|