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(Page 2) <br />MINE p # OR PROSPECTING ID #: /7-q y- O /( <br />INSPECTION DATE: ~-,3O -OU INSPECTOR'S INITIALS: G OQ <br />OBSERVATIONS <br />T~i3 wQ'1 Q r+-ot2t~o/'i~. lKf/e~42,- ~c fnll~~~ uD ~ .a~tr~i,'-~o/~~~r~~e <br />wi7~ r~6/~-: I ~~ 2 0~ ~Tt. c ~ ~- ~-y j /Kf ~o%-- r~P .r~ ~e <br />rhf `iv'`'y" G~~r%6rs1k.~~Gs+G ) /„/t1I Ki//T~~~~~t~ <br />~~~~~,d/a1 re~,uire~ `~~ ~ e f~o0~f o~11~e nr%r~- /~` f '"w~`" <br />~Jl^a ~ ~~f, 1 f R' .P-oy-f/,/~/`z Qi! G~v..cf- ~ /~ /~v.~f wL1~-C ~D <br />HG~Y-~/'S~ f/2~-G2 ~i~ ( O ~ T~'~ e /"~ q/ ~ ~ Gr / L/~}~ i <br />~' r ~ ~ <br />~O AIG~.~/'`O SLo//~~ ~ /IL I~ / /~+-r. r f G~f/GF"~ <br />,/} )~ // `/ ~ ~ /~ /~ / Q I <br />(" t6l~ I•e.,z No, Z TeG~.~u~7it" 7h ~ ~t_ JeG/L~ rt iG~i1 ~PV~sly~-.- ~-e <br />f ~d~-, ~~ c...'~ ~ ,/J~sirt- ~n ~ /~/7rl" f7~o~- w~y //rte D r~ ~I D <br />St~~-~ w~ j''una v~~ ~a~6~~~-~- CaTiy ~ ~ J esri U 1" t' <br />''~Z• e Pere ~ f ~r~z _ ~ e t e~~~l~- w.~f s~~/.~.~~~ ~~'~ivv~~ <br />/ wG s~d'~s~,....~ 4~~~~/7`~ 5 / ~"11G~~a~S'i°~f Ct /f~ytz ~ v4'f i~/~/~~ <br />vcs, s/~.~~~-~ ~c~~ 4~~u^- t:~fl~~r-CXe~ , ~r s r ru~ '~e rr <br />I & E ContacfAddre s~yy, ; f ~~[-,~,-`~a~ ears 3 /t{ ~i~ i'Z'!s~/lln~/~7~ <br />. ~ •i <br />TAME: cr ^ CE <br />^ BL <br />'ERATOR: C ^ FS <br />/ ^ HW <br />'ET: ? / 2 W ! 3 2` STYG O EMWMD (CH) <br />'TATE2IP: I~u.26<a ~d ~ t Gd ~ ^ WQCD (CH) <br />~ ,FSC OTHER <br />T~ =~ Sf ~~ f nt~C <br />