Laserfiche WebLink
<br /> <br />(Page 2) <br />MINE ID # OR PROSPECTING IDp/# ~ 76 `oZoZ~ <br />INSPECTION DATE /O-I.3' 7T <br /> <br />INSPECTOR'S INITIALS '~"•~ <br />~/ . ~w~ <br />G¢ v~.,~ l o ~e <br />k~ ~,~ a• O ~.ea <br /> <br />,~~~, ~~~ ~~~ ems. <br /> <br />I & E Contact Address <br />NAME <br />OPERAT <br />STREET <br />CITY/S <br />cc: ^ CE <br />^ BL <br />^ FS <br />^ HMWMD (CH) <br />^ SE <br />^ WQCD (CH) <br />^ OTHER <br />