Laserfiche WebLink
<br />~' <br />(Page 2) <br />MINE ID # OR PROSPECcT~I NG ID # M-"~t Ora <br />INSPECTION DATE ~.~^ old I q h INSPECTOR'S INITIALS~K <br />OBSERVATIONS <br />,~,a, ofn ~ ~1 as ~ ~ 6 ~~- ~ ~ i1-, <br />~-c~~9n ~c~nd w~s..c~ ~:u~~- i,~ra~uQ~. 'n-_p~~."^~ c~~-+_,k~-~a~-~.e~l.~ i3~ ~. C~fl' ~ ~C <br />o-,n -'`-,ACA, un'3A `a`""`~2,`-t~ <br />~~~ a.f ~-+ ~ ~~^,, cam,, 9~c9~ taex~ ~~CQ An~~ <br />-'c1~9, non-c~.r~. k~u. I~~ Ic~o ~ -~-ctis, c~n~v~ c~ -9.x'~~^(.,~-~~~"~ <br />I 6 E Contact Addres <br />NAME /Y I IG' 1( 7IANI <br />OPERATOR l 1 ~_ ~~y~`/ ((~ ( U <br />STREET `)' l 1 ~ 0 1 ~ 171 I (t] _ <br />CITY/STATE/Z/ZIP ~f c~~f~ C~ ~O~_ <br />cc: D CE V~~p <br />D BL <br />O FS <br />^ HW <br />O HMWDID lCH) <br />0 SE <br />O WQCD (CH) <br />O OTHER <br />