|
,~ ~ ~ (Page 2)
<br />MINE ID # OR PROSPECTING ID # H -Y ~- b 6 O
<br />INSPECTION DATE C/- ~ g', -- Q ~ INSPECTOR'S INITIALS~~
<br />OBSERVATIONS
<br />@at4 wt_erel~ q~ PRA- o Pe/~al-~ca,~ tnssPeerco~ ,~-q- y-tq.rS sere ,q-s
<br />Re~~{QQ~ r3~ f2uc.e 3.~C~),
<br />Y"W-e- at2o PoSeo~ t'(lnTe, Se5'e rs G ~CF~`T2~ A,Qeu.'r % Htce 5ourrfcur~sT
<br />OF A-C.t4-wr~Sl4,
<br />qz~ PROPoSeb Peaftc ~ i4-rZeq- w-cu. do~5eST orz ~ReS~
<br />Ag ~eq+-~(-2-erg /SY t2uc.e 1, ~, aCc~(-(~) a ~Torr~e tS tire/},Q ~t'ue
<br />t,1oaT~Fe.4-ST Cc~2Ne.r'1 0~ 9-t-E2 P2.2r-trr,gRe.F#,
<br />d, v +.c ~ b A t~Ta T ~ c9C4}~e ~~ PP.rQ P-t e'r' ~o-u-AJ D .wR E~ M~-,¢Ke/2 5.
<br />~-~S`r7Z+-~.~`reb `rZie OPec2,~-ralt Ya /N557q-[,C.. Pe.R~`l~~ese^STN/f/~K.e,RS
<br />~p2~ar2 ~ thscrt>z}-r'iruC~ riiNCtiJ~ c~Pen.4Y'zo,.3S, j
<br />,q.S TJe3~2br34.b !n3 'it'ra-e ~4-PPLCeskrronl~ YJ~fege r5 spaJexlSTl~9(
<br />E-x e' ~k ~ ~4-~7'~t~ ~R.e ~ r~ t YEf-r ~1 YFI-e PRa Po~e.lo ~'e to rt c v- <#-aeq- , TNe,
<br />oper2~TV2 Pt-~kNS ~o !'.,~~c~.l Mtnrln)~ csl~ee2aa~zonts rnS s'Hfe
<br />.¢,a.ts~"r-JG Lets-r`u-r~.iSeD ~RQq i74e~J PR.o~ee.D ricT~E Soe.t7'/~e2c.Y
<br />ra~D vue5~'e~~}' DlRe.~V'GOa,
<br />7'r-{e+2e. -5 AN eK-s <<u6 D~~'Y'u~2s5~4tsee. ou.~-s~t~Q v7.te Perin-rcY
<br />A aw ~ ~ 9`we- e.A- s T S < p e , ~~. a Re rtca--ro rz S G~.o u c, c~ rr etis'rz aet
<br />7~{-lS /N TG~ Q}-p1'c4CA-YZoN ~~.LQ~ /}-LSa, 511.~c,~.~.~ t2ev~c3e 'l'yF~
<br />p)3 S Q.1tJe t~ ,4~..s ii-/~u as 9~ !~-a.T e ¢, o != Yre ~a-s ~} o c-s, y's t a.e ~ ~'t~ its t ae
<br />.P~. peR,rt ca"' A-R.eR. `7't{e o PeRr4'~o2. ~A~S coe-trt c Y"~'et~ Yb
<br />C LQd~-~ u,P !~-Nt~ Pr2o Pet2~-Y bbS poSQ lr(~ `fie `~~1-mar /eat TW2
<br />~eRd-t~ i /-~-t2e.~k.
<br />~ ~ s°T'i ~6 e1-e ~ e rr+ r c o a.~ r~~- Tie s t r e o 5~F6e /~R,u s ~ ~ s~eJa a2oPSe2a~
<br />K,ocl-lira <+a.sb k(xssG~~ `Tl~fls`IZe, vQ~evx}TCrJe ~~es2 lS
<br />SPA-RSQ ,
<br />O 135e,r23~iJ /~- ~/`~~-~-L I~oasL~ ~IJ Y~Fe I~o~z.~r'a-t srrJe. ~ ~7'kFe
<br />excs~aN~ Ply: Cain ~7 'PLC. rst ~ttr5 ~r?5 Gt2ouoarJca)pFet~
<br />O R (Z~D~ mac. ~,~or-t Ree+e.r.7Y' srat2--l e~~'S.
<br />.) t M $~t-e.~ euS
<br />NAME
<br />U
<br />~~
<br />^ cE PA`r- News©,c] -
<br />^ BL US/4TeIZ QUq[.i7yL°dA7RoL
<br />^ FS bLV. r±~
<br />^ HHMWMD (CH)W`Y~~V P~-t3~'
<br />^ sE $3 eso ~~e-uLY Ct2¢.2K
<br />^ WQCD {CH)
<br />^ OTHER ~/j,ltJ~Q sJ~-l7'4f
<br />TJen~e~, G°e. Cdoaas-
<br />i ~' z.,
<br />OPERATOR SOU.~FFW/a-~l ~-~e.55`TRc..~Cr60~ Cogs/NE
<br />STREET ~ (~ Q ! /~ Q
<br />CITY/STATE/ZIP _~' ~b-/ % l~ ~Q,
<br />
|