• (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 />
|