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• (Page 2) Zp~L • <br />MINE ID # OR PROSPECTING ID #: /"t - `lZ~ Gb3 ~///~ <br />INSPECTION DATE: ~ -7j~ lJ 6 INSPECTOR'S INITIALS:~C/ <br />OBSERVATIONS <br />~v~-~- ~~w0 ~~ ~~Y~t~ ~ty,Ga waf !~-of ~~ Go/u~ hlr Slcosw ~ <br />~..~ ~~~ ~ 6ee..r_ «..-t <br />of'l ~~f O~ / ~2 ~ ~G~ <br />I2 ~"a~-~-'' n <br />/i/a/r O~''i~ /fi(7~ / O Co+^-i/'r.~v/ `t ~ ~ -"." ' ~Yt f~ 2G! °~!" 'tY1' <br />Y t ~~er~! u l~ ~ `L e~ s~ ~ H-~ ~'P~~a~oz-- <br />~.~ /~ ~-po 5 f v <br />~«/~rre~ . Zf ~~s y~~ <br />//~~ q~ ' fp ~l2 Y,~re~f~ ,~r~- <br />~~ < ,p l <br />w tf~ R ~- 4- • ! P !t ~ er-fi a-~~ C~u~/ !~ ~ f <br />7~~ ~ e `vl~rx0 /`1K~of' <br />~- ~t{/~~ <br />I R E Contact Address <br />NAME:_J11t~w <br />OPERATOR:_~ <br />STREET: Lf01 <br />CITY/STATE2IP: ~,(/ <br /> <br />(Ol.c~f <br />cc ^ CE <br />^ BL <br />^ FS <br />^ HW <br />^ HMWMD (CH) <br />^ SE <br />^ WQCD (CH) <br />(~ OTHER <br />7~~- Sfcv~t~;- D~'!~ <br />