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• (Page 2) • <br />MINE ID # OR PROSPECTING ID #: I'C' G~('17 ~~S <br />INSPECTION DATE: 3-g"b ~ INSPECTOR'S INITIALS: ~~ <br />OBSERVATIONS <br />I,t_2 ~Yb D2aY~fz ~~ C°e~nsDtY"GO~-S GtrLa.r...c~ nsa'3' /~tSP2CrT <br />'~(5 S lq'e , <br />7'bl-e- ~ c a~~ ~p S t G-c.T w--1Si.5 o P3 S_eJZcs2ID ti-~- az~e., eisg~Zeq-~ ~F <br />T~b-e- ~.e,rt rt ~a- , <br />~ t t~ (~2. S e l~ e. ta-e~~--~ '~ ~ l ~YS P2e_x-L a~1, <br />I & E Contact Address <br />NAME: p~,~/{Qd.'~,~ l.U}-IJC°.2. <br />OPERATOR: ~Q-Q(~ ~aunYTY <br />STREET: ~ ~ ,~jp~' ! ~ 7 <br />CITY/STATE2IP: ~~Q.r (1 (J j..,L} Y ~p g ~~n <br />-.~ f~ r-ce s S~vea1 s <br />cc ^ CE <br />^ BL <br />^ f5 <br />^ HW <br />^ HMWMD (CH) <br />^ SE <br />^ WQCD (CH) <br />^ OTHER <br />