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. • (Page 2) zU ~2. <br />MINE ID # OR PROSPECTING ID #: ~_ 77~ 22 <br />INSPECTION DATE: ~ 2-[~- ~7 INSPECTOR'S INITIALS: ~+' <br />OBSERVATIONS <br />K ~ 6 e u..,. 7~,ffa / ~esi' ~„_~Q~r~c~-.a-~ VV a <br />~- e ~,~ 1 ~ -f%w~/.~-~; ~i..~.c.~[~ R ~3 ~~, 116 ~'~` s~r_c/rte v/e / <br />a-~~~~~ aI !o~ 2 f /~ eol a-~r- aif ~-- G/kTc it r.~e f Tp <C ~S ~fY <br />fa / l /~ p / ~~-!"e Gam i ~G',- f IL~OI~~ / / / f~~ ,! <br />d/~S f~p~ >~~ tC~af Jo~v~ pis ~eaJ!!~(C _/b~e~~f/-m'~/~ /h//~~1"~~I <br />3 U 14 ~P f~ rrev~to~ ! ~~ff 7~0 ~/'~s~d~-- ~7o efTL~GT/K~. ~/~//ye~~ <br /> <br />I & E Contact Address <br />NAME: I _...-ref ~ , <br />OPERATOR: //,QL Cr ~, =k <br />STREET: ~9G ~ ~o k- f~CJ <br />CITY/STATE/ZIP: si~y~ ~~ f{~ ~7 <br />cc: ^ CE <br />^ BL <br />^ FS <br />^ HW <br />^ HMWMD (CH) <br />^ SE / ~ , /' <br />~ WQCD (CH)JQpPY' SL~,p~i <br />~ OTHER <br />T ~w ,!'ffv~- f - OK 6- <br />