Laserfiche WebLink
' ~ <br />(PAGE Z> <br />MINE ID # OR PROSPECTING ID r#: ,~- ~ ~ - ~ ~ ~ - _ _ <br />INSPECTION DATE Q ~/~ ~/~ ~( INSPECTOR'S INITIALS ~ ~S <br />OBSERVATIONS <br />I ~t ~ ~ ~4 a~L1~-:~-~,~~.1,-a-c~.-X~.~ ~-~-~~ ,u~~~~r:.e~/a t._.~~r.~-~.d; <br />j~`~-'~~~-~ ~ cam-„u-~ ~-~ ~ ~e ~ ~ l a ~e,~,t,~~o .-, <br />A1„ ~~~,..,a cry e~z ~ic~u/, <br />{ <br />~~~ ~~~ <br />I & E Contact Address <br />NAME C.Pw.~.f-ate I~44 ~ ~CffOfjt /"CW'N~MV~ ~1 <br />OPERATOR GL~a.a-+<<s-,4. t-~c~ Lir~^~ ~+~ ~~~ec <br />STREET ~i / /~ G.~-e. <br />CITY/STATE/ZIP ~'~-ts ,~(j ~ c4D ~ `~3 <br /> <br />5149E <br />