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I ~ • (Page 2)~~ •
<br />MINE ID # OR PROSPECQTIN/G1 ID #_ M~ 0 I ~/ ~~ cC`
<br />INSPECTION DATE D ~ J-~ - ~~ I INSPECTOR'S INITIALS c7JJ
<br />TbG
<br />OBSERVATIONS
<br />~ Na+c.~ra~ sed~,.~.e,, ~.~,on. o'~ Ga1n~5 6u.~e~ Inas tause~ '~ Sa.--, a ~•(•-
<br />+kp~ d~a.in.G~e >r'ro,~ ~'~'(Q C~u(cl.i ~-o /' un tG.ro~~Gi F~+C old -I~, ~S
<br />~c~ow ri.L o(d .eve_qIec7~ed s~q~'~- down fie access roams ahd
<br />back ~-o ~.e_ G<11cDf near 'I-~Q Q~osPer~f- ~ofe.. Tke ~ulc(t c~ra,.,cu~e
<br />sl~occ~d be gees-b2b(~sl~ed ~0 /~reura't- ~~o~J ~~.rov k ~ c
<br />r-,,rne s, ~-~. ,~dd~ ~-~o,, al(', w a ~-'e.c bac5 sltoc.< (d ~~e rees~-~b~csl,~
<br />I n
<br />r ~ '~"~ e ~ CGQSJ f oa~ ~-o P ~eJ end ~' 10u~ 5 t-ro r-: Cou ~ s l~q ~{o~u.-~
<br />f~~ roa d, ~!
<br />Tkere art '~wv ,~.~~~~. bac~e~S o} (So~roP~ cr~ckvho~ cart St~~
<br />Wl~~c~,n5(1o,,.(d ~ y+,~oJ~e-d- 'I-o ~t.t1 a~egaa~-e con~l~r~w,e.~`f at~e~~rt.
<br />Tl,~ FCnce Q.r'eu~c~ 'I-~~ ~ese~ ~LaS 6~en Y'~n.-~oU~, S'~~~e Ti.~e
<br />hea waS ~-r-es-4~d ~~ dea~~,o4~4~c ~FL,.~ c a„~de. Tl~e o~e`-~`,~a~,
<br />~ // III (~ ,{
<br />bC ~-Qsr_u.,(e.c~ '~-O ~e r~egb'~-ajl~s ~ r~L 'E%1 CQr l-t ~~, e h.eltP IS V~G
<br />b~ reac~lva ~~ oc- (~ saM~l~es o~ +G.e ~ek~r e~lue~~ prn~e
<br />~ b 2 (-,~(1 i h cya,t td p o r I-i ea v y ,-rr. e ~v ~S .
<br />T~~ ~ollr~~~o~, p~Pt ~',-oM ~ti~ k~a p Is dripp,.,g w~~e~ v~y Sfd.~ly.
<br />TL~e oPe~a4e.r- claiMs ,~.~ ~ f ~d ~~s ~Y egre aF~c~ a ra,... TG~, s
<br />eF~'I~r~ i- st~o~id be_ sq~y(e~",I or pN Co~dµc~~~l~,- ~~~ e~alure
<br />C yQ~ r ~ e a.,, d, sic( ~'q ~ a3 a s P e ~ +~ e ,~ r'n e e r ~ ~ -~~ Tl~ e e~~u en `~--
<br />~'ro~..t. ~G,e cSraln a~~~ ~ ~ or;-a~, ~ b elo,,,> 7~e ~eaP 15(noud also be
<br />SQ,,.L ~~~~ tea., d a~a_ly~.td ~' (r~- ~os~ 5p ec.,~~cs.
<br />"TOPSo~i~ row, CohS}ruC~~On et I~~,.~. ~2gc~t fJad R/ICS '~0 6e ~tStd
<br />~o` rcc~awr-a~{-co~r a~ ~G~e ~ad rs ~ suPpesed ~(-o be s-1~x~lc.Pi Ie J.
<br />on sl~~. This 5~o~:.K~ii~e X45 ~o'~ Found,. T4.e oPe.r«~or
<br />Ir(.d~ c0.~'e t ~ ~o sd~( ~a5 SalvocQe~ arccl rCJ~SP -1-G~~
<br />Sou ~1 ,mac l~r~e ~P e s{-o~~i ~e ~v~`o~-core
<br />P t~ ry, I I- ,H QPs +o
<br />I ~ E Contact Address
<br />NAME
<br />OPERATOR
<br />STREET
<br />CITY/STATE/ZTP
<br />CC: ^ CE
<br />^ BL
<br />^ FS
<br />^ HW
<br />^ HMWMD (CH)
<br />^ SE
<br />^ WQCD (CH)
<br />^ OTHER
<br />
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