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(Page 2) ~~ L • <br />MINE ID # OR PROSPECTING ID #: I~l~- ZSy <br />INSPECTION DATE: ~ - 2 Z ~ G / INSPECTOR'S INITIALS:~~'.-~_- <br />OBSERVATIONS <br />~~s ~uf~C~~ waf ~~~~~ ~ -~(lo~ up ~-~- ~. ~ n,~t>tz~.s ~~ <br />d~,~ ~ s-«-r/~ ~~t ~5~~~.=. ~P ,N~ed~-waf ~6~ <br />2 G '~! kLVpCj !'i~ ~ ~ r y. j~,~y- _ LVO a.-. ,e wti/ f~erC 7!G /r.~ ~,~rs..e <br />6.~(~ <br />Nal - ~~ ~yu~~p~D~p Gl,f7~0aY G~~ o-~~~i~~~~1~~ rf <br />li+,~.p p/-- ~>ie.~G><cr~ G~,/ [f (~-~- Zli~2 721 vt.~JL' Gcuku~ <br />!'-~,t9pN G(~cP .G~GaC~C.~ . iQ.2`~e l~ ~G `~i,t .S to -G~ r r,~J~eG'l ~- e7~ <br />~,~r ~f-~~;- ~ ~ r f ~~ Y~iil ltst~ rrf off - <br />!/0,2 ~c,-.t-~,~ILP O~ ~~~jG(( }91~C'P~ G~il~/p~L 7~-P ~~~ti1 aD . <br />rvtP ll~,,fc~v2f/ T~GY`~ li~f/IG~B /we f~C~4+~¢/~. lit GT~Cf~~vdlLt-¢ <br />d f/~~P /(.~+~ Q~tt'Li?'-~7-7/ t f !2 e%l ! 4~ C' `~.r c~ f 1~6L.- (^3' u~~['~ <br />O // <br />r!l 3. S U~ ~I f/rPS „ ~+^- l - Z ~ / d t `/~ e ~G ~ flame ~-e <br />~ d~BS !M'( ~,~j e.Cp/rft~lz° 4~ `~zt' ~~• <br />f~t ~C,.je 7L,a..e n~ /Gt.~f ~ti-I,}f~~z.-._ 7~ ~~ ~!f ~~zy <br />`'~`~ I,e~ 6~y`t~~GS~ C/(tp ~lC'TiYi T ill ~ ~ ~o v~~ /L.- e <br />e~s~ ~~,~w~0. <br />I & E Contact Address <br />NAME: <br />OPERATOR: <br />STREET: <br />CITY/STATE2IP: <br />cc: ^ CE <br />^ BL <br />^ FS <br />^ HW <br />^ HMWMD (CH) <br />^ SE <br />^ WQCD (CH) <br />^ OTHER <br />