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''/I (Page 2) <br />MINE ID # OR PROSPECTING ID # Yl-8O "BIZ <br />I NSPFl'TION DATE ~~ 1 INSPECTOR'S INITIALS `~-~ <br />OBSERVATIONS <br />i~i.ai ~.~ee~i.n~ ctr~.~ c~.uc~ r~.gv~' t~ .~v ~+~ 1Z~~p2~a`~r'i~ <br />41~ ~acr P-~ ~,yzQ ~ un~,Gdti ~1Z~ , Fd,, , P~;eO,e. P <br />~ 2 G~ 7,1a,+~~~, U,e,„e„~,, I ~, Q~c ~cu~t%~tt~~~ ~~~~ <br />~mni~~a oc~~-~Ofa~ x,~c~~ 1~n,+.e r~ ~. ~a~~ ~ lam, <br />~ ~ ~ ~ ~ ~- <br />~~a~~~~ ~~~ ~~ <br />~• ~ ~ ~~ • <br />CERTIf-~~~ ;_ ~ ~. P Sae uai 4c~ <br />RETUt~:..:_.,cIF'T REQUESTED <br />I 6 E Contact Address cc: ^ C6 <br />NAME ~UI.D~ p ^ FS <br />P4A~L Q-~q.Kd- ~dYf~ ^ xw <br />opsRATOR '7~ A ^ tnewrro ccx~ <br />STREET ~•©~ G~~( IY'~ ^ S6 <br />- ^ WQCD ICH) <br />'fLl..{/L .Q.Lt ~~[l OD~Ty-~ ^ OTFSER <br />CITY/STATE/ZIP <br />