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• (Page 2) • <br />MINE ID # OR PR~,ISPECTING ID #: /r'I~ S U~ (o <br />INSPECTION DATE: ~- ~5' `I S INSPECTOR'S INITIALS <br />OBSERVATIONS <br />5 <br />J % ~ ctv-o 4 P~v~. -o-~l~~ ra~ n~„~ ~z, a~vw-i /~-., ~' '-~-~~ ~ o-... <br />C4-t...~....`-'n'-.,~ ~~,~li ~.u /^u.ciN ~-c~ ~..~~,/..~ ~ n+.-r..c ~ 4r„ a~b uirw.'~1, <br />U 70 9 ~`^~ y~.,,~,~ " J.y,.n~c.a~-~ H' i f ~- C7R~ - u.-..~u~..~ . ` / CT <br />C ~"~ T'_ ~'~.^+~ cV`As~ A_ ,~. _ ~1: 5 O-Cli.c-A. ~ to ~O R'C't"2 - ~ r ~~ 0 f ~ 4 ~ r r6ix'C~ <br />'I <br />U <br />~ n _ - <br />tl/~ ~Y <br />"~ PM'V-r2~'L ! LL <br />M <br />A <br />e <br />/ <br />/ <br />.( <br />~ <br />C. <br />~ll:. v.a ~ e.~av ,,~~ ~ ~ ~ <br />~ <br />~ti<...-vq - ~. ~...41. tel. I (a ~f v~ Co,,,,'-i ~,.Jr~11o <br />~us,~'..e~ ~ 'F ~?e! <br /> <br />7 Jo <br />7 <br />~r~.s ~~'1-- <br />~e ~a~ <br />-~, <br />~ .~ <br />r~ .a~~ <br />~~ <br />n. <br />a <br />cic-~-~ .;~1 I <br /> <br />~.G~.a~ w~r1 <br />/ <br />` <br />/ <br />1 <br />_ / <br />'. <br />,_., <br />c <br />~ <br />~ <br />~ <br />~Q <br />,~ <br />avw <br />~ <br />r <br /><>{ ~_ J <br />_ _ ~ l: t+~~.+-+--,.~i' J ,,,.,, N,.a /~~..~.c.LLf,...~~,po,l,..e.-L 4 <br />"'"` <br />_I <br />0 1 <br />~''•/~~/ <br />l~ <br />~ <br />~_~ ~ !/.-erg-n <br />^/ <br />f,~ <br />'~` <br />^ <br />' <br />~ <br />^ <br />~~ <br />~h ~ J i--e~ <br />• <br />~ <br />1 'a <br />-/ <br />"'-~ <br />` <br />/ <br />~" ~ <br />r~ ,~v~.~+~y <br />~~,~..~~ /`e!,~ G~-H-. ~c ~-~+.~ ~ ~j ~~- ~ v s ~e-~..i v'~ n <br />F l,,.r/J <br /> <br /> <br />[, <br />~~" ~"~-c.~eQ ~.~ yr wa-s t~.en~arl/L-~A ~ 3 ~a-c~e ., ~i.arO ^-c~ <br />i <br />~ J <br />// <br />~ 7f.-~ 3 9ac~ u....~C4 ~e ,L,~ir~ -~2 <br /> <br />c c - C~-.'P /~/ <br />I & E Contact Address f; „ <br />/~ Cf-~S~t4 ~+~ ~GS <br />NAME:~;r~~ l AL.tn~ lu~la ~~57/¢~q'~- jcc: CE <br />~-y n //9fOCY~,„f5r, Ste.3o`~ BS <br />OPERATO?R:~g.~(A!-., C/KC/c~•~: ~-n, C.t)' Lhc <br />STREET: Jl~ Da~.wrw G)• ~Q ~ 33 HW <br />~q ~ n ~~ ~3 HMWMD (CH) <br />// ~J `-6~- ~f (~ SE <br />CITY/STATE/ZIP: LDv~C~-...~~~C~O, dDS.3~ OT~HER(CH) <br />