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' (,P'ag`e' Z ) <br />MINE, ID # OR PROSPECTING ID # M ~ DC) ~~'1' `(" <br />INSPECTION DATE n~' h~ ~4`1 INSPECTOR'S INITIALS <br />OBSERVATIONS <br />'~ ern -~1~1a~. <br />~,c. ~v ~, <br />~^ ~ • <br />~- e``' ~( ~ Q ~~ ~ ~ ~M~~ . a a .fit I ~ 1~.uc~,.• T~ v`ro.A <br />u,"3-° . S9 ~ ~-Q.m~(,o I M9.. • u--1~- wo..o 3 6~1 ~ a • 4 <br />'`~~^ ~c fir, ~'~,,^,~~ # 3 ~'M~.~&, 3 c~ ~ kt ~--e~9, <br />~~ l ~ t l # ~-(SS 1 \ 3~, ~, ~( (r ~ t <br />~{ r- <br />~ r ~ ~ t9) ~ ~ 3 ~ •-1 <br />) <br />~ • ~.'~ ~ ~, ~65 ~~ .~ , p -~ . (.,,~„~,Qa~~we,-{eo+.~ 6 ~`a6g' 9~~~~~~p ~~~+nna~~, <br />t c ` ` L l ~-ln~p ~' ~ hM.A.w-~llul.~, 1, • ~ -1"-~' `~-""."`~. <br />-~ tl ~1 ~t s- t~ io.3 ~~ ~~ ti <br />~-~v.~r~D~2a..c-.-}K~c~ ~~-f.~l ~~-}~ k~A~O ,~c+-nn a~~ , ,1ki,,-~~q'~~~~'~~ ~+ ~'--~- usT~.cll:.o-c.l~.c(~ i <br />I=& &V ~ n aCt Addy e n~ " ~ -l/'^ ~ cc ~ ^ C6 ~~^ ,S~trul,{{.~.~ <br />^ BL V <br />NAME ^ FS <br />^ HW <br />OPERATOR ^ HMWtID {CH) <br />^ S6 <br />STREET ^ WQCD (CH) <br />^ OTHER <br />CITY/STATfi/ZIP <br />