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• ~ (Page 2) • <br />MINE ID # OR PROSPECTING ID #: r~q/_ Q' <br />INSPECTION DATE:_ Q /~-q8' INSPECTOR'S INITIALS:_~~(' <br />OBSERVATIONS <br />a '~a"' ~ M~9~~ c.;-e o~-~ ~-e t~7~~ -~-~.~+- ~z iy,~y/ ~ /qtr <br />-~-:.. °~ <br />fJ, e / ~"C>Z' ~/ J1~~o~.~fllO~P 7~ ~1/r'k.c~,lTL O ~ Ff w ~~/ wa l <br />r <br />~ ~o Oe Ge~,.... (Lf~~~' ~eG, ~ I~YT, ~ ~Cl/y ro~`y~ r~/~tll~ <br />~~ ~ ~ ~~ . <br />f'tr. jjra~.. r ~r~ ~~~ e:ror~.~~.~ t~.~f~ ~~ ~~w~el ~io w~f <br />fo w~~af~ ~e {~'eGr/1t ~ ~ ~ -fr~/Ai~lr``~ <br />,e~ia~- w~f Gam- ~~~%~ /f~~~f ,p / `~P/T . ~x c <br />rpve~ ~' 1 'U // ~ 1 /~ <br />~ r s,~~~ y r.! wa f u,~f / H,~.r~ ,.r c.~7~i~~y l«1~, <br />7Gc P~--~~~ y~Y~r~i /ire-rr r/~/~~i ~C/ ~t yJ~G~4 S <br />1lrU CV ~(r~G--GG Y~ '~ L s l ~if"~~ ~/ i ,f~•-- sG,.uxdL ~~Y' '!c $><' <br />/~ Q L ~-// ~f c~pa~~¢~cy~` t G! rl <br />C a.-~ rl.~~/4`~'~/ ~ 'Je ~p~,-•.c~l ref 2-~ Q~ L v <br />Nit, / u ~ l L f-~>~ ~7`Lt i t r/(~'~- tL'Y~*.r-/ ` /J'C ~f~-I '~e~ <br />I & E Contact Address ~O ~~'`2 ~t* b(~s.~-j a~li~ , <br />NAME: ~c,ywZt ~ /~r~`Y ~~ysa.,tn~_IJ/o2~er-1 cc: ^ CE <br />r ^ BL <br />OPERATOR: ~~O Lv(~- ~,~~ ^ FS <br />p ^ HW <br />STREET: n0 67hX ~~/ ^ HMWMD(CH) <br />~ ^ SE <br />CITY/STATE/ZIP:_ ~~,f' s r ~~~p~ P~03~ J~ OTHER (CHI <br />