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~~ iPage 2) • <br />MINE ID # OR PROSPECTING ID•M-- SZ~-oa(o <br />INSPECTION DATE 4-l7-`Y~ INSPECTOR'S INITIALS JIJ <br />OBSERVATIONS <br />~ o r~ fat..R T ~ /j- (' /~-2q' F A L 1 IU S O' 2., tT[-p e.9 ii-'I' TT¢-i'S 5 [ 7'e `¢ S P/~-27- oY~ Yr-Fe <br />1-[ i lJ !' !~ [-!¢AJ VJ Re. @ Lath ri-T~ Oral ~/PSA- R t~ A ! 2eCTiU e 7'29 ~~+~ f2e,G7' ear2+e.y <br />h I N e ~ [ 7'C'. ra) ~r[-f2 ST~4Tg ~ are R.Y Ego ~t 2 ~l eq-25, <br />~i'I-+r 5 ! 5 /i~ `3 /1-L: Re ILO Lt d-t [ T~z.(L~ P /APR-~.`7"' oR-eR-c4-Y'coe~l. 'r'ff-e GPeca[t'T~1Z <br />t S [-1 ['~-1 [J'G /~ LA-C K O f3 5 1 b I A rT u7 h [ ek. r S ct, See Fa 64-5 Lac? ~a2 sFT[ ~ e <br />(~r..G t< . <br />A r~[-aye c iJ s /ins r~ ~ti~ r~erq-tee. ~-ar~ ~z4e ReR.~rc-r ~~,arn.3-r~Y <br />~T1-! e o P a•[4'1a-TOR F 5 , nr Ctrhb (' L G/~-af C2 e.~ [T7.~ Yt~[e ,q-PPRa~ue. t~ a-[ ce~tinl(~ <br />pc.~+nr. <br />`TD P~ o Ft_ s i ac1~ P c(.e S ~2e sf a>ee~ u, ~ c.Y c1 e,~eq-~4-rip ~.sD ~`r~r-~c2. <br />t>tk~ Isar csQSeau.e. 04-nt`I PRa/~c,eo-Ls~ <br />I 6 fi Contact Addr <br />NAME /3 L L l-- Te z~-/-~K <br />OPERATOR C~sLv n K4-L~ P) (J U,.g-~R. F~ S <br />STREET ~,~t9 SO . L -S~Fa <br />CITY/STATfi/ZIP l-!A~/J O[J 1. [rY L'O. iS~.~~e~ <br />JI H S-t~vear5 <br />cc: ^ Cs 3at3 SLI.~LbCC-~ <br />^ BL <br />^ Fs IA~QL°b <br />^ Hw <br />^ HMwrro (cx)43~ ~`.h.e2R.`( (°R.ee1< <br />^ sfi t~R.l.ve ~x.c~-I~F <br />^ WQCD (CH) <br />^ OTH6R }~~~_ ~r ~~ ~ r <br />~.JC.N ` `. `~aaa -l ~o <br />