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(Page 2) ` ~ <br />MINE ID # OR PROSPECTING ID #: <br />m -~ ~- ~ <br />INSPECTION DATE: ~ L lD ~~~ INSPECTOR'S INITIALS:~~ <br />OBSERVATIONS <br />1~~ ~_ ~ ~ ~I t S t p N Lo ~ ~ l~ `(t~ C C ~ ~ Cr~S l~ ~ .!~ Lam. ~-201~ N ~ cc~~R,'~'-I r`(C,~ <br />~ ~l.~+t cal- ~~L W 0 ~ ~ c t1 ~L `l3 ~e7tS t-L I ~,(~ ~~c- ~~~i' <br />fly- ~ L~T~.Dn1 I C_ ~vl A-U-r n1 c,- 5 `f S ttSr~1 "1~ ~D~~I fL'y' ~IDt~ <br />G-~? o ~ r~ ~D w o fZ ~. I n[ cs- s r~-av a -~ is .D I v I S ~ o nl w M~~-a~ ~ <br />~ CLT 1'Co ~ 1~. L.S M ~e-ttn u A ~ t1-S b ~ t hl C,- C)~1-r U 3 cfD -1-u <br />tJ a~ + I ~ ~( ~-+~ .~ roc ~ ~.+~-y 2~v ~D ~-v~ ~ ~ W o 2k c n1~-s <br />~ ~ ~L~ -W~ ~ St ~L I S c~-a r>`[ cr 1~ ~t/r l,~.s ~ f~S C.l~ cH p /f-~ <br />OnLC,CS ~~L Uni~t~2G-2~v~a ~0(Zkt-~G t-t~.E b~.=g12~~~tFt~ <br />~ P t2o Ft~..~-I 2--~m~ D't ~-~1p tt- s A ~ P 2o~G~p t Yv f1iY- ~1. ~ d3~L 1' <br />`~ . p~ ~3 ~ t ~ ~= ~ ~ S c. u--S S r oN w ~ n-f i-tn ~ p ~L .S o N c~ N m c.~ c_T (~ ~- <br />~l't l: SNP, ~ I I G~F=1 I ~l (r W O (Z I` l,J/t" S I~f l~L.~ ~^l S 1 iL ' 1"f C ~~~~hl N l3a <br />~b o ~~ ~ ~ p ~o ~ 3 Prn( .D H uuJ ~c~.u-~2h°t~ ~ N t~-s t~ ~ <br />I ~ C.oS?~-csLA-°F' /~(G- ~t~n ~C uJc~(LIC-I n(c,-$ w ~'~-t ~~t S+I n[(r UNa~ax~~4 <br />~ 0121 t nl crs n'l ~ S fo ~ ~ t; ~"~, <br />14-~-f~fL -~-tt~ wr~S HAD <br />.CGS ~c~f~I ~~ll~ /j-1~ Q-r c'~ ~(Sc.us~r D/~(~ /~~-a~rtiZ-Dr n(cr 't-h ~ <br />~ o1zl~ tV~-A~- w r ~~ t3 ~ C~nD-pu c~ r mil- 1"~ ~. Cs~ rY~ t r~ cr m ~ nt7NS <br />I & E Contact Address <br />NAME:m ~ ~ Jl ~ ~ L~.ll~ ( S <br />OPERATOR: ( (~ ~ ~1'(a-. <br />STREET ~~ ~ L7 ' ~ }( ~ ~ //~'' /, Q <br />CITY/STATE/ZIP: ~~ ~~ ,~ , ~~ 6~ ld ~(~'~ <br />cc: ,~I CE~ ~ ~~ <br />QQ BL <br />^ FS <br />^ HW <br />^ HMWMD (CH) <br />^ SE <br />^ WQCD (CH) <br />^ OTHER <br />