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• (Page 2) • <br />MINE ID # OR PROSPECTING ID #: rn - ~6-~ ~~ <br />INSPECTION DATE: ~ ~ ^~~j INSPECTOR'S INITIALS: <br />OBSERVATIONS <br />~,~ ~\~ilS~pN, L,O~UC~.~ f1 'Q(Z~ " o'Q~Pt~IA-.1 A-L fMl~ MO N1T~f~~l(r.- <br />~.sP~i -o+~ o~ 1-v~~ ~\~ o ~c -i (61gB. ,~-t,~ ~~ is ~~~v,,,6u, <br />~ t ~ s ~ ~ >M~c-~D ~2+~v ~ ~ o p ~~o+~p ~ t~ e..~~ ~P PDT; q~m t ~ <br />~ ~ °F ~`E~ C~t/o~U . <br />(Y1Q• Qap~ K~~ so amt 1I~ pt~a..~u..~st~N' ~r oP~R-~`YoiZ. <br />Q~ C~"t oI~I ~ tZ~ ~ 5 l~ ~-a fY~ i-1 ~ S M O~Y~ ~- '~O f-f, UY1 St~2, ~ <br />~t e -ta--i#r~ ~ ~n ~~ ~.~ ~s q ~ a -ft~R-~ • ~ ~~l-r N ~~f-c~~jc~ <br />1 S APP 1~• ~ -k-e-2~ ~ 'fit c ~w-~-~ Q~ ~ ~-m ~ ~ -P~-~'Pc w +R-5 u.~ ~'~-,~ <br />-A+~ ~ ~.ISQ ~~ ~ RJR m ~ s ~ o ~ nd~ R~- rn ~-k~R-S ~-~ s~ cz-~t t,~ a~.~- <br />E ~ ~ ~ ~~ t/ w~Qt4-~1-Y~~ ~~ -tin ~ st-t-~ w +~s ~'c_rL "i~u-~~ <br />.~ Oo - 'to ~ t ~ S 0~ - N, l ~ q ~- f~n6 ~ '~ fi P Q ~t2S M D 12E -~vt~ <br />f~~ ~ '~ 4Z ~~ S U w~~ ~ • I ~ ~ s v ~ Q P v cat--f--~ ~r`) <br />(„~~l.l, QC prQt~~o~C~ ~~~ ~- a3- 9~. <br />I & E Contact Address <br />NAME: ~~~~~ ~_ _4TU I~~ ^ _ _ <br />OPERATOR: /. ~ ~L~~ L ~ +'t~ ~(-' <br />STREET:- ~~~J ~~[ [~~__~'(j~~l J LZ <br />CITY/STATE/ZIP: P~~~_~_~~' (~ ~ ~ ~~ <br />cc: ~ CE ~~~ `~ <br />^ BL <br />^ FS <br />^ HW <br />^ HMWMD (CH) <br />^ SE <br />^ WQCD (CH) <br />^ OTHER <br />