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• (Page 2) <br />MINE ID # OR PROSPECTING ID # ~- ~ G ~~ <br />INSPECTION DATP: tSe~2~~~-~~4~G/ <br />OBSERVATIONS <br />• <br />INSPECTOR'S INITIALS~~ <br />fie f ~~"^-""'/~ ~ ~I 0fQ-h1~ r~y~ ?'%!s - y-~t~ , L•c~¢ rCcef o T <br />G eN.t l-~ f e i~r-e l ~ L ~~1` a7~0 ~~e y.fl ~p~ ~ !1-~~ ~ ~ u !~ <br /> <br />~-e co.-.. ~ ~vs ~,z.. aQj~1~Ga-l ,.~-- <br />f2t~s 9~~~d.e d,~j-ert~~,~ <br /> <br />o ~ ~.e ~9l.ase ~ ire ~ (ate ~~~ nl. s~~i~ <br />Huc~, o~o Ix-z r~ce ~,~~K`r~ge .~`~" ~e I'1-a~f'os~L r,,..~wt~ ,~,~ <br />c~-a-s" f1 o-ws ~/i~JaJ ~ 7~~- ~l-~f0~~'~~ ~-~r 7~~./Q p~7f ~ ~'`v{(7 "~ <br />~l~te r- ~-s~C ~ ~C/-e~f ~veGl be /-t~iGt~-41 N~ t °`~- ~°/ ~ (u~S <br />~~~vu'~-9` ~/-Ol/~~ 6~~~2'..G~.2/~Q 5f/77~'+~Gu~~`''./r-""t0q/~~. <br />f~tPSE ~zL"f, 7 <br />~,,,e l~~t,.~ ~~~ fi-rr~-~- ~ T~'~^-~~n~.- 7~u T~e a~4'[~1- PIG~J PT°cefs~~ <br />(t~~p;ce ~`-/pus ~(a~v3 ~•~,.-Io t~- Gol(~-r~D~/-.. r C~.~;~.1 s~.a-~1 <br />Qw/e~ k.,~/ol~~T~~j~~_ 1~7~~ s~~ ~m/le-/ ~Co~.s ~-r+~-~- ,(7~s e ~s <br />7-Go'h/ t~ti7'o l ~ ,!~/tt Yle~ a~~ So'"'y/a T~ ~e H'/~~S~f <br />I & E Contact ]address ~ cc: ^ CE <br /> ^ BL <br />NAME ^ FS <br /> ^ HW <br />OPERATOR ^ HMWMD (CH) <br /> ^ SE <br />STREET ^ WQCD (CH) <br /> ^ OTHER <br />CITY/STATE/ZIP <br />