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(Page 2) G <br />MINE ID # OR PROSPECTING ID # ~' ~~j' - 32 3 <br />INSPECTION DATE ~-2 9 -9~ <br /> <br />INSPECTOR'S INITIALS~L~ <br />~~~9e~~ ~,~ h-~-.~.~ -~~- -fie G~~,~ f~ ~~~ ~ <br />1lrv~s«-.s -ale ~~~ ~~ «~~~- ~~_ <br />~-e ~i`DG 1~-~- w.c j LLljG ufl ~ ~~7/J~ /-fir. (ri r~~ w~*9 a y~°/~ <br />/~(.~ ~.~ tf~td~, ~i<tv2 /~-rG~cd d!~/// 5~~/'e °~ /li.C ~// b~ f ~ J <br />O`l~t ~ e ~ J ~~ ~~ o~(d r"mt 1,-.~..~ 2 Gof~'~ of ~/~`~ <br />~ /~ ~~ <br />~etp- ~~se iJ ~ `jQ ~<r~f~ / <br />~~ l~lY"t~~ ~cpgq"~~e~ 7~.0 ~. ~ v e- ! ~-4 ~r~T~~a~~ Z su~~v~ <br />avc~ ~aK~ ~.~ s~~ella/~ ~~f ~ '~~e ~eY„~.-~~ <br />~ fof~ ~~s f~~~ s~.~ he y~v r`te` ~s~~ f ~/~e <br />S 4.n~e_ ~-raL~-~' o au-]ire ~ /off r~ ~Af oy~~rw ~.e--~ /-o n yQr ~/ r~ ~µ-e <br />~~~.-.- {v~.a ~Lt~s SG~a~~`Y/` r~G(~G~e /Y~e Foa~/Y~l o-f- ~e <br />DvyhuT~ sfec ~ r (e ctv+-~L- a ~ ~eG+-S o~ ~f ~~1 ed" ® w~ K/~ <br />a-G!!v/Try j f~ca(c. ~ j e.ef ~-Ild~,-~ ov~bs~~ r~ f~ s~11 <br />r~~-~~-,~ ewe r~s <br />1 /~ / / <br />fol drl7~~Y~c~n~~ ~/. 7 2cl~eS czrr-~ 2 6ooY~ rz,fl~11'a'~ pad-- d-G Y-2 <br />I ~ E Contact Address cc: ^ CE <br />^ BL <br />NAME ^ FS <br />^ HW <br />OPERATOR ^ HMWMD (CH) <br />^ Sfi <br />STREET ^ WQCD (CH) <br />^ OTHER <br />CITY/STATE/ZIP <br />