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(Page 2) <br />MINE ID # OR PROSPECTING ID #: /t'I l9~~ ~~ <br />INSPECTION DATE: ~'-Z Z-~~ INSPECTOR'S INITIALS:-__IP~ `-' <br />OBSERVATIONS <br />~~s /~ksdt:// ,,,,af ,r~~u~f//~~ 6~ ~Q o~T , suS~hsr^-- <br />sdv~ /J~ sea-` ~ ~~r~" ~ l <ok s~4rsYz'!"~ S~~ ''~2//-~0/' <br />t~ T~e~ S~~<~ Q~ w~~~ a .~.su iO~rr-~ i~ ~ us~~/~-,- ,~o <br />b~ talc' '~~ ~e G~;= L+i°z J- ~~, ~ornp~~~ av/~ 7~e <br />~ l <br />~~f ~ ~ ~t ~ ,,,,tit `<cSJL ' kl f'e~~ G~ !O ~ ! 9Y~ . 7~e b~-~ !~ ~J <br />bey. y-.e~~e~.,e~ pru `~~ l~~f si elf _ ~~ ~iv~s~v~- wil~ <br />~~ ~ w/ ~ Kl ~~ , <br />®~6~.~ ~~f /~~ ~~~~~~ B~~~ ~ ~~f ~e <br />/ ,c/-- D <br />2~ ~~,~.~~~~ l~/ ~f ~9d~1t~ O1v15/G~e ~e ~~~~- <br />~-P y~izl~e~f vv~ ~uc~zsS ~- -l-~TSd ~~, f~'`~`sfi~ ~ `/~e <br />~'Ja~-~.-ud , w .vr3' ~!f<uS ~_.~/~ /u e S~iry~-l7BJ~'-J °" ~~ ~/'S~o<f( <br />~t~-~~~~ ~.c~ ~1,~~~j~ae,~~e~,, ,~,,y~r~J., ~ ~~ S~-bvr~ f~.~,I~ µ! ~hr <br />I & E Contact Add ss ~r,~ p Ct e~-r.~~(' yji ~„ ~~ g P Q,,,~ ~c.."r <br />cr ^ CE <br />^ BL <br />^ FS <br />• ^ HW <br />^ HMWMD (CH) <br />^ SE <br />^ WQCD (CH) <br />~' OTHER <br />P;~Sre~~-s - Dl7G <br />STREET: n~ . 6~K '~lv Z <br />CITY/STATE2IP: l=~'rlc~2~~-~~~aFG/~f~o <br />