• (Page 2)
<br />•
<br />MINE ID # OR PROSPECTING ID #/h / 1 $k '~`'~~
<br />INSPECTION DATE: '-/- a / "~
<br />INSPECTOR'S INITIALS:G ~S
<br />OBSERVATIONS
<br />Y(<*o v..~+~e.C,.a-~, eu~.-e- ~c+~1L e.~ a ~/J f e -u ~P z re T~S*-~-~ ~-`~`'e~ ~~'`~
<br />~'^~~w, ~ a~f~-c~CO-i; ~, a X~-C I 1 D acl~. ~ ~ c~--~--~ 13 0 '1. a.wa-
<br />~.C''"'"''E ,,.u0., ~pe~~.„~,~~~„
<br />n L ~
<br />c,,~~ ~ ~ ~e-w---..,~,y-,LO ce_P.~--•~ &.t._.n-cc-a~ -~,^ Att-di' .
<br />d~a-ew_~~ , ~ ~'~" ~~~,,u,_~~R~ ti,'~ ~~` ~o ~<,~~i ?-tee fuu..c.
<br />h~ ~ ~ ~~~ ~,~~ ~ ~~ ~ ~. ~ ~ ~
<br />~p r 0 _ ,aiJ. ej~J~~,fF+~sn+-.^+~rna-.-.~f'ev~eccY
<br />r-KR-c,c,.tiu+^a° ^ ~ G~MM-may w'1 / i1~, 6 'r ~,r,a_...;U JY's.~ lU ~ c~r~~ w,a ,nlYUt4r
<br />() recalc,~.la~zd
<br />Dfj e p -7 D ~~ -rte ~/-~,~,.~' ~ ,~,r.a~,~.~0 -f-I-.-~ ~ ~u, x~ I n &-~.'
<br />6-~-~ yC~.W~t /LL~'`-t.~ lw'tk- ~ ~ / - 49 are5..~1-~iS ~ns~'~~j
<br />~...~-.~-.,~/n~,~ ,nnom- ~- w ti..~.~ W : - r ~Q m o~"`~~--"' ~.~, .~ ~ ~-off >~~~
<br />~-+~-~ ~'1 -~-~- ~?'`~`~'`'2~~9 w, ^ s ~°'(s-°a~ .lam-~.bi,,~,-~-~L~2 0'+'+ f'~-,t~~Gy.~-
<br />I & E Contact Address 1
<br />C C - ~-,-Q- Y~ ~,-/
<br />/~
<br />OPERATOR+:~L, ~, CVw-a~" yn c~
<br />STREET: /3 uZ / C ~~'~'~ ~ V 2 ~t~'',LLL>z-01 0~
<br />CITY/STATE2IP: ~ rv, cV_o ~~c~-c-r, , ~, ~ ~oTQ
<br /> a
<br />cc ^ CE
<br />^ BL
<br />^ FS
<br />^ HW
<br />^ HMWMD (CH)
<br />^ SE
<br />^ WQCD (CH)
<br />^ OTHER
<br />
|