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• (Page 2) • <br />MINE ID ~ OR PROSPECTING ID # fY~,^1.^I ~~,. L~ <br />INSPEQ'fION DATE ~^ r~-f~"~~b INSPECTOR'S INITIALS <br />OBSERVATIONS <br />`1N. p ~~ ~d:.u.~-FeQQ D..;~. ~^^~ .,vim,-e,~}~s,;n v~, ~ .~.~ avl 6 -do - <br />S~~,w, oMCq ~~-~ boom vv~ a.n. Icu~ <br />e~~~ ~ s <br />-L.~nn3..D c~ .~-f- `u~a'b .ate -}~.~ ~Q,,.~„~,~-} c~.~.~. <br />~ ~~ ~~ fio -tee o~~~~~~' <br />l~ (.,rc.n~ W ,,v,~-F n,~.c~ -fig ~ mrc~f~ w~d~,v~ C-}-~ S c~.P ~ S~ ~ ' <br />win ~n X . c~ '- <br />~~f ~3 (wu.~.~o Pry ~, a~-~...~n -~~a~h+ <br /> <br />3~~ ~ ~~ <br /> <br />o~~.~ ~. <br /> <br />I 6 E Contact Address cc: O CE `~~lA STw-r/~ <br />~ <br />NAME <br />n~.[~_Lti7 F. T.R D FS <br /> <br />OPERATOR ~r°~~~.A-~ ~.I'~~C <br />~2 1 ~ ~/YI n/~ O <br />1~y O HW <br />HMWMD (CH) <br />STREET ~~ ~ W Y. <br />~ <br />' D WQCD (CH) <br />e, <br />`` // ~~ <br />' <br />CITY/STATE/ZIP ~(A D.Y~AI . l._U p <br />(~~ ~~~ D OTHER <br />