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• (Page 2) • <br />MINE ID # OR PROSPECTING ID #: /~ ~ / ! `OQ7 <br />INSPECTION DATE 7 ^~ CI INSPECTOR'S INITIALS:~~ <br />--i <br />OBSERVATIONS <br />y'~1s ~hl~e~~/ w~f ~~ ~~. ~~ `asf ~.-,~ ~ a ~ year-~h~r,>:~, <br />~~ Lam, s~e~all ~.2r~i~~ay~-s v;~ ~e r~~ . <br />y2«s >~af ~ ~i-roe- ~ r ~K y~ual~iL-- . ~P~~l~ ,.~-~~/ a ~ ~~s <br />dos f~ ~ `~-~ eaff sr~e ~ ~ `~ e ~„--a~ ~~.r ,~~r~~~ °`~- <br />~s lay ~-,. ~.~ y~~ ~s h~~ ~~ ew~~~e ~~f <br />`~i~ `~ P ~ res ~ o,I'R'~'~ l•+/e~t~-~-~ahi I e Sou ~''~y wa~~ <br />U / A <br />~o ~~.,~~ ~ .e a puss /~a~ la ~G~Jo~.- 1-~ ~ ~~ Lf ~~, <br />A la~eOG`i ~Cq/t e(/'^- d~ /'~-~ ~~~'I[ G/OGG~I~- [7 P /L~EGff~~ <br />;~~~~ ~o~~~~ ~0 6~ ~.~~ <br />~e r ~ ~~ sr~-~- <br />/t'th. ~~fr~ Cacl~ta/'di^- s~2/f ~~ yeru/„Jf ~~~~~ !~ <br />l~D o~~h- yh~bl~s ~-~ <br />~ ~ ~"' ~ ~ ~ ~ ~~ <br />CE^TIFIED MAIL NO. <br />RETURN RECEIPT REQUESTED <br />I & E Contact Address <br />e <br />NAME: ~/~C L.S~ ~~ P 1/ -~-~ <br />e f _J- ~ <br />t, <br /> <br />OPERATOR:_~,e f~J'I.L~D h~~i° o4.t~ erw <br />STREET:~~~/J (,/ ~?~' ~e uP <br /> <br />CITY/STATE/ZIP: n.Pvw~q/ /'D ~ ~0 20 ~ <br /> <br />y <br />cr. ^ CE <br />^ BL <br />^ FS <br />^ HW <br />^ HMWMD (CH) <br />^ WQCD (CH) <br />~( OTH,tER <br />~vr,. SfC l/~K S - n~~i <br />~\ <br />