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~~ . (Page 2) <br />~ MINE ID # OR PROSPECTING ID #!~' J J ~ ~D"O <br />INSPECTION DATE '~ - (0 - 9 .~ ;,~.~ <br />~~ <br /> <br />INSPECTOR'S INITIALS ~s <br />OBSER_ `LA`L_~ATIONS <br />~ "' ~ <br />Tom(/_ ~,/-~ ~ ,-~J .~~~~ ~ ~ ,~..~`c~~~ ~7 <br />~~/1~--~c.(/^-/L.J ~ -/7l -l~ l~(~ .Q.r~c. ~q Q~QwX~ q .~,~.c~<,~.•t,l.(-~....~`y,~fJ~.~G«.,~4.Kd'4 , <br />C ~^'~ ~r/~?Jc~^- ~ L~r-c.TJLP _ _ , ~_ Y~ P~ ~ ~'A-c r~=~ ,~a <br />./~.f-lam-emu'-`°~ '°'°""'` r2` 'f'~.( N-r-NJ~- C~U~ O~^ lGt-k.~.:~ 1'~-~" <br />~--~-, ~a-~•to ~ D•v,~S,~-~, W G ~w~-c .l~s-n t.s-w•~.~~~~i~-~~,t~r~~^_ <br />tom- ~,~ c.~-~~..~z.~-~, -~~c o-v-~J.~-^~ 0 •~,,~i w~ti ~~~...~~ <br />~~" ~-~I `~,~°-e''~+~, v'~ ~ 6o-i... y R.~d' a....~ .2. A.~ p,,,.,( ZV-~-Q.I ,AJ~.a.~ dlN•~, <br />~ ~ .Q.~.-~,,..„,,,,~.. ,va ~,ti.o.G..lti,.,~ k,~,,.~ ~~ <br />~``'''° ~_,,G..c.o,,,,,/.~ J~...~ ~,.e..2/'„~ ,.,;/~ ~3~ I I ro-,.~ • F .~.~n.";o ~ - ~ - F d <br />,VYVQx+x~-a-0'ti ~) .~-~-dM-l-6( ~'^-~ H~^.'h-~ G-t ~ ~A~it./ .i:.0 I In,.,.~/00+,A^'y C:/J/~.e,zt•O'L~ <br />L A.c ,,.„^.,;,e ~ ,L,,u, L.~w...\ p w~, a.¢~-~n~ P~/" tt~+-GV c.a~+~,~/„U -~w <br />~ 1„i °'~„"..~. y(.ea p,~a-v~.~r.~ ~,~-t~-eM~ ~-.~.0 a.~, eRe~-t~..f' ..,~yt~„r,,l~,;,, <br />I ~ E Contact Address cc: ^ CE Se~WArtzwt/~ M'~ <br />NAME S"F'C U 2 G ~ ^ FS ~~~~~~ <br />P. v • Br-~L .r o i 7 <br />n^ ..r~fnn ~^ TT ~~ ^ Hw <br />OPERATOR ~O~" fw.wieln.~c,6'M ^ HMWMD (CH)(?e~a~r--N CO • <br />n q T ~ {~ ^ SE ~ <br />STREET I cZ 'S r1~Lo /,W • 1 ~ °aJ~f~L a ~ Hn~l ~(~~~~ ^ WQCD (CH) g(~ ~Id '~ <br />CITY/STATE/ZIP ~f lGl~i~+-~' ~• £CO /~~ IS ^ OTHER <br />