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(Page 2) • <br />MINE ID # OR PROSPECTING/'ID • # QZ ~OS~ <br />INSPECTION DATE ~~-~L9 `q7 INSPECTOR'S INITIALS_~DO <br />/ ~ / /' `/ OBSERV_ATaIONS ,, / ~J <br />~G~il// ~l S' l rG ~l f tl ~I.1~i,,/( (jam' /6C~~t 5 e/J.L~~~i1Y ~riz7-~- ~ /~~ <br />~uc K~~l S , D~a'( 7!~-e ~vst~ o ~ M i~z/e frc~~ ~ ~~ <br />2e:v~tverect-yam ~~~ .~ ~ie ~wiu~~-C r~~~ is />f~T'rl Z1~/"~ <br />Z ~~f' ~ s'ee0 ta-~~ ~ ~~~ ~ul' ~C'S yecr iyc `~i2 ~ile~ <br />~,,y~y~.- ~ fl~i[Ge if <s oYc1lY /~"CG~~Y~~//~as~ ~~iZ ~e ® p~p~_ <br />~.cf ~.~ ~r, ~t/~/~G/~~t l ( al~-~i w~'7~. ~ln.~ ~r~st~zGUr.~ 2~~ 6e f~` <br />" ~-'~TIr=iED MAIf_ NO. ~ a~ 3y7 ~a~ <br />.~ i URN RECEIPT REQUESTED <br />I 6 E Contact A,l~ddreJJss <br />NAME OP.( /~ BL16.~ <br />OPERATOR ~ { <br />STREET ~7 j4 .~~ Y-PE~ <br />CITY/STATE/ZIP PanMfP~.C"O, FI/2~~~ <br />cc: ^ CE <br />^ BL <br />^ FS <br />^ tiW <br />^ HMWPID ICH) <br />^ SE <br />^ wQcro (CH) <br />~ oTxER T...... 5~cvaN-s pr[C- <br />212 .~.yy ! 3 5' S`lr-~ <br />pcaa6lo. CU. Plo~1 <br />