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• 1Pag77e 2) Zd~Z • • <br />MINE ID # OR PROSPfiCTING ID ~ , /~ ' ~7 <br />INSPECTION DATE _~i~ ~ - ~ INSPECTOR'S INITIALS~~ <br />OBSBRVATIONS <br />~~~ . <br />,,~/ ~ o~irY 's ~wx~e~~c~e 7To ~vY /we r~f~ <br />/u-e ~l~¢.~cCl~ ~ UU r <br />~~ r~~la~w.,~~' ~{ ~~f arm . yZ2e b«%frcN- w:/~ c~u~~ <br />nom,, 6~ ~o~ <br />flu,. ~~ a ~=~~t"!r/%<-~f ~-~ 6e~-~. f~ o~c- ~~ ~ <br />.Zf lvc6lt ~t~~j ~ ~ T""`'~i'~' f~Ce evil ~e <br />LC ~ Y2- <br />13a~ ~f ~~~fr~le v~ola.~~f ~ ~ 7'Z,c ~~~, <br />I 4 E Contact Addreee <br />NAME 1-tL~«// ( Cam, ~-~ ~ .( <br />OPERATOR !'Qtl{7~ CLCJ'Y'/{~- ILf/~P <br />STREET ~.l', ~d X ~ 2 <br />CITY/STATE/ZIP ~d~ivs.~J r LD. ~/E~_ <br />CERTIFIED MAILII Z 416 942 373 <br />RETURN RECEIPT REQUESTED <br />cc: D CB <br />0 BL <br />O FS <br />O HW <br />O HMSil~ (CH) <br />~ SE <br />O WQCD (CH) <br />OTHER ~.w f~EV~ f - OKIT <br />