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(Page 2) <br />MINE ID # OR PROSPECTING ID #: ~- /~,S- dd$ <br />INSPECTION DATE: 3 -Z°I-oI <br />OBSERVATIONS <br />i <br />INSPECTOR'S WITIALS:~~ <br />'TGi t1' f h f~P~~ wQ I nr a~ f v fo l~Dw ar~ o vt cor'7'~G11 i~° aGt,,.yr~ <br />rti' r /t0~' O ~Lc e ~3-Zg'-O/ kr ~xr7oi'i ~ 1e-il~'l~lyo~ ~~.,.o <br />~ ~ ~~ ~~ ~~ ~~~ e~~ , <br />~ . ~f. e f~ ~ ~ cGLf~dh. s e~,,,, ~o~l u~~ av e ~C J!/'4~ °!' // <br />~ ri ~sh~.~l sv~.. ~w 1 ~ ~ 7~2 ~ `'~°I-v~. t ~ bot~.-~aY/ ~i i,f . ryr ~cl' r~ <br />C f7oy~- Y u/r~ 011 ~/~ <z fU1Yi~~Y s~~- ~"~ l~"~'~ <br />/ K. G ~ vKQ f ~-c ! Q`~7"~ C Ils+^~ GOS (f , ~~ / ~ 'C._~ ~ p <br />a <br />G ro,,y a~^- W aJ ~o ~J-~vf~KP ~lf, 3 .~o o ~ a~~~icz,r~1 <br />a r~ (Q~? ~W~`~~d~1 <br />warr~y o-~~`l, 3~so, <br />lS~ei/~~r a' ~ !~ cetr-e %c 1 ~~ asf CGf 1~~ <br />G ~GYTZ- l , <br />-d-cC /f'[t ~d !/owfl~ ~Q~ -7y-~o~Y- QI~f e~ GotYd/G/Q?'ve a~ril~~-~l~ <br />-~~ ~Eff ~~~ l~Gvy. f !tom ~2 f'~ /i f ~f Go/~O~ ~~ a f'/Gr~ <br />~f ol!!i/fo.~s ~ -~ ho~ r~es~/ve~ 6~ fZ,. e. K~~ ~~~~ a~~ <br />a <br />l & ~Cantacµr~~e55rff~rd Ga~-2X ~~ c (a awir/1Cp~ '"~` ~~' ' <br />NAME:~/~/6~Q ~ Ol ~'Iap-fE ~~~yx ~ cc: ^ E <br />^ ~L <br />OPERATOR: ^ S <br />^ HW <br />^ •~iMWMD (CH) <br />STREET: ~ Niifi~ ^ E <br />^ QCD (CH) <br />CITY/STATE2IP: ~/i ~l ~ ~ ~_ k~ p/7~ jif OTHER <br />~. ~ _7000 /6 70 DDD 8 -S~//~ _d_ 9_%' _ _ ~°"' sf"'~`f <br />