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• (Page 2pa. • <br />MINE ID # OR PROSPECTING ID #: iYlp- '1~ - ~90~ <br />INSPECTION DATE: to ~ a' ~'-~ CI INSPECTOR'S INITIALS:_ <br />OBSERVATION S <br />rn 2• ~ rrR..nt K ~~-F s-tt~a -t-ht~-4- fi-t ~, '~ s •w p ~.~c-t nt o-- w ~Tk ~ r.~ ~J <br />o ~ ~)rrb~, uaH o i 5 ~ t ta..~ nt cr -~-o '~-rs-~ fl.~ ~ -j-h ~ ~ ~M t 1 ~n4 ~ <br />~4~~D ~h ~r i- H C 'f~ ~ cz-f~l~r~I1~D ~ nrrt-~ L .D ~t~n 6 ~R. ~ i ~ t 9 9 $ <br />~ c_om p (~(~ -tom C --~12.iti~CS '~. -P~-j- -Nn t'S -'ri rn t' ~u tsD ~ ~~ t S t o N <br />~~-~~ 'nn C ~~R.vw~-1- ~ D ~-'~.Q~--F~S -}-~ ~ o ~ -( onl ~o G3 L <br />i t.~ ~o m P c._t hnt c~ ~ ~{ ~ 1- 31- °~ ~ • ~D u. a.,t n1 cr -}-vt ~ T~ttnts ~'~.. <br />~I ~-l Lh'f`~ 0~1 ~Q_O (_.tz~S~ ''~ C .D ~~ ~ S ~ o tS .w t Ll. 125- ~Cfsl.t~fi-}$ <br />'s-ln ~ tvt t Iv, L rS G- ~ lit N Pct ~ ~ ~ ~ c t ft L w h-~RhfV -t-1-I . <br />~t~>r,rtt j Si U-`.1 ~ ~rS ~iL~ P ~. Ly ~oS-t~D tt oW ~U,~. ~a~.~,~ 1 <br />f3ou ~c~Dt~R-~~ M itR K--~ ~ uJ f+-S r~ p-1- N. o~D . <br />~~~~. ~ ia~~~~z <br />I & E Contact Address <br />OPERATOR: nJll ~1 C14.1~ ~ (ffYj!! 1~'{~a hL.4 $h~ C. <br />STREET: ~~i~ ~- ~1~-l../YIDPf-s <br />\ CITY/STATE/ZIP:v.w~().s~~l /~lk~ L~L~~ ~JLa~ <br />--~,~„t~ s~t~ur~*aS <br />cc ^ CE^~ <br />^ BL mR Bum t?nartrMQ,3- <br />^ FS BitP..aLHRRt ~tC*d~.7,C.Y <br />^ HW aletW'eStl3th~~ <br />^ HMWMD (CFA ~Dl G~ <br />^ SE ('l) <br />^ WQCD (CH) <br />^ OTHER 813 <br />