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• (Page 2) • <br />MANE ID # OR PROSPECTING ID /#: ~G" ~0-~ ~t-~~ <br />INSPECTION DATE: ~ " ~ b l 1 ~ INSPECTOR'S INITIALS:. <br />OBSERVATIONS <br />l ~ p ~-~c~= s o ~ c ~uTn uUt+~ ~r ~ ~ ~ i N ~ ~r~s ~,c~2~-i <br />~ Q • L ~ - S ~-}~-rtt~ -1-v~ it-t' --ice ~` I C C c z Y ~'~ w ~S ~ rw + nt rJ- <br />~~bt~S W +~ t+~c ~~ot.J m cT~S. <br />1-t ~ tr H ~t o t_~ n~ C ~~ v m P ~ ~}~• +~n ,~sue~`U ~ ~ • ~ -~-~ ~ F H ~~,~ <br />~ s p~~-~-~ -fi-~,~, ~ -~ a ~,~, ~.c <br />Tl-t r; S t/ a 4' i t t l <br />jl-~tf ~ I t ~ ~~ <br /> <br />~ ~tg ~ ofi ~ i s c t- ~-2.o-r n! cT- <br />.t ~ - I <br /> <br />~Yi ~ Fo l,l..D~ t r1, t;- ~-~ l •N frS l.~ ~-ts ~~~ ~1'Zo M ~ 1-t fps E 1 ZAt,J <br />~foL~ M c c~~.L,~z_T t oB~! ~M ~f~ . <br />Pv~P~ ~ • t~ -fir ~H~ <br />P~MP# a •3~, .. ,t <br />~~ s Q~Z--'tta ~` ~ Frn ~ c...oru st~~t+ o r is C,~~~{ ~~ 20 ~c~s + ~I. c~ ~. <br />Fob Pl~t ~s ~= ]~- • fit d p ~b ~~ of ot~ <br />~SP~`~ TH bs ~ l ~~ r-- r,~2 S1s `c,AS1- L(ZvsSS o of A-~-ail ~ ~'V10 ~'t o i- <br />~ ` -~z ~ ~z rl A-,r e` b ~~t lZ6m o~[ o~ - ~ ~rn- tr ~ Pt9-H o of o~ ~~th <br />I & E Contact Address <br />NAME: J ('e,p l I ~ I~ W r S cc: ~ BL~~~ S"rtL~L~S <br />OPERATOR: ~ ~ ~~ ^ FS <br />r~ q ^ HW <br />STREET: ~ ' C~ • U~ ~ ~ l ~ ^ HMWMD (CH) <br />^ SE <br />CITY/STATE/ZIP:~(~ ~ (~ O 8~~- ^ OTHER (CH1 <br />