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• (Page 2) 20~r ~ • <br />MINE ID # OR PROSPECTING ID #: ~' Q7- Q C~ (// <br />INSPE¢TION DATE: /' -(7 - ~~ INSPECTOR'S INITIALS:~~,. <br />OBSERVATIONS <br />~~aeid~CL vzrr vte~`~.e ~c /~l~]~e~t' [~/ ~or~,~~b~ti,..~C~ /G.-2~v~ <br />p~~v1<o'i-- d~ ~C~ ~al/aGc~sf~e Crc~K- QteQ e,r ~us~GU ~'i-~- <br />u ~~~~1~-,L 1- ~ ~..~~' ~~.s ~_~L~ ~~s ~~s , who ( f <br />~u t / S/ !G ~e vet"o ~~ 1`'<~S6 ~ I / [.vim f ~~~~ ~'t~/ SSE' <br />S EOt~G 11 fy~ fll ~ ~-~ ~ ~ /'a// e.t'C2 rice=~ ~i~i~~~ <br />~~ ~e~-~~a~~ ~- Uzi-~.s~ w /~/~7`~ e ~s~~ <br />Ys' ~ '?d2~/ Q l <br />~~ ~,~ ~f fo..~~~ rdG~ ~~e t~fi`~~e ~~ I! ~S <br />(tw,/~otf/fl~e /o ~oZel7"-SG/"~2 l~D~ov~ /~-e ~'°~ ~~ <br />iC2P ! ~~fG/ f / 2J~1.° {tee ~-drr~~ !~~ i~/~1-/"S~~ IK~~~f ~//~ ! <br />5~~~ d.~ l ~ i~-ee~ e~ or-- a. f ~2l~fl ~ rwn- ~ ~d~`~/~/`/- Q ~/'~ Z~~'/ G <br />f0 S'~ o`/~/`-C. ~2 ~G SOS/ ~D ~~ /c~ CG2.~- ~7 ~ ~tPit"!i'lL/y~~` `~ <br />f /l/G ~ ~ (^~ 7~~--1~ /~2G14~~rU' ~D'i~ lG/`~ . /u ~f Gu6f/ Gl'~1GafI~dC <br />w,'~, nr. Sh,~ l`~~t6~ I i5 ~~r~'9, 5!~ v~`T/` trv~•-~- ••~-GS~~e„t~as'Qisf <br />~''~Cl~`~Q~~ rer2 v~'-7- s7'~~~ a-.. C~r.~.,'l/sloG'~ ~~' <br />~-~I-// / ~~ / ~ ~ <br />/G~.2s~e ~j-e¢/i,.y~h~ z~'j~~ r ~ flO,ye //~_ / y-e/ c~-e~~-e~ /r`l/: <br />S+n ~ ll~- fig / ~( / ~t ~II~Q ~ w'i e GD~G~.c~zE' Q J~ev~cGfo~rGGi <br />I & E Contact Address <br />NAME: <br />cr ^ CE <br />OPERATOR: ^ BL <br />^ FS <br />^ HW <br />57REET: ^ HMWMD (CH) <br />^ SE <br />CITY/STATE2IP: ^ WQCD (CH) <br />^ OTHER <br />