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• • (Page 2) • <br />MINE ID # OR PROSPECTING ID #pm^ g~~a4-~- <br />INS?ECTION DATE:'- 19- 9 [~ <br />1 kl ~ ~ ~ v. t S~ 0 r~l, t~ nc~ t7 ~.TL'D <br />INSPECTOR'S INITIALS: <br />OBSERVATIONS <br />'~ M 04f ~'~D2-I !~/ G- <br />°~ <br />1~C Sl"~ lS ~ )6Ma'~-L- 1 1~ Sc~~ <br />~t5f~2 •D l ~C C D C Cc7 (_.o ~~t110 <br />-61~[S ~-i t oN oi-~ ~ 5 I'i~ <br /> <br />~n-,~ e-4-MC~L- oQtl21t-~lo~ l..O~ <br />k ~ 9 N d.•o 3L~ ~ ~t-s c.o c.~r~ ~ ~ -11n ~ m ~ D AI-~ ~ ~ ~'' ~ r''~'°r"v P ~ i <br />~' I a,~ IL • '_TYt t; t,~7 t~fi ~-~ nE (r s ~ a ~p ~S ~V-f~-~ `t~~•t of tr G- 2 ~~D =t~ <br />h '~~ t S Lo Q>; ~ f ~ S rv~ ~1-t~- ~'ta~-k P I'~ ~ ~ c~ s ~ n1-~'R-~frL- Eo r~-s N b-~ <br />~:m~~ -fv~c S ~o~-tro>'.l o F -r+n c 41"Ti '~{~~• b '~S . L.~S~- <br />o ~ s t~l ~ ~ <br />~ Yt ~ s ~~ ~ S o ~ c^2~ o nl ~`{ N w t~ s 'nom o~,l GD <br />y ~2 n-P PX `~a a ~ L ~fr'f~-e- ~ ~~ ~'~.~~' ~' J .~sP>~-rte <br />'1~-ts u,ttt~-G ~~"~ ~~Jao•i-w rr ',gvn-SAS t~ ~ ~~t~ _ <br />1~-1-0 /~C (J -1-1ti C ~ t~fi 51•b C O .F ~" C ~ ~/n l 1 ML t~4 • ~m t <br />as t~ ~c~~-y n'1- ~'- K°`~~ t,J ~-c o~(a-t~ ~ ~ o m. -~J a 1Z Pao Ix-°'~t <br />,S I GnJ ~ <br />I & E Con/ta~ct A''ddrMMesslI ~ ~./ Q~ ,~ / <br />NAME: CY l~.~lU ~' V' r ~JJ u /~{ <br />OPERATOR: <br />STREET: L~ I ~ 1-C7 CT~.~_~/ /~ .~ n <br />CITY/STATE/ZIP:~~g~ C~J J Y I~UL.n~J~ a~O~~o'~- <br />J <br /> <br />^ BL <br />^ FS <br />^ HW <br />^ HMWMD (CH) <br />^ SE <br />^ WQCD (CH) <br />^ OTHER <br />