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(Page 2) • <br />MINE ID # OR PROSPECTING ID #: _ O( I <br />INSPECTION DATE: (O- Z 6 ~ Y~ INSPECTOR'S INITIALS:6~-~~ <br />OBSERVATIONS <br />7`Grif iv~sPe~ro~-- ~ of -~~/~L~ ~~~~ -~ r3 ~~ !3~ ~ ~ ~ e <br />Qr,_~`f~/5`~~-LC Per e~ <br />O ,,y ~f ,~ N1 ~~~/rtS <br />'t'jrt~2 ~lercti-L~ Y'e~`//e J' /~c~ `ioce o~~~ ~ikDe 7~-~ ~i ` <br />f ~J~opef ~~-e tl~~f o~ /f^-~ So~ sip{ ~~ ~f rl <br />U ~`' / / <br />r Q~~ /•.i fs Z ~' ~ ~L e w{l~ Si ~ i s rJl~d'~~ <br />~G~,~ ~ ~~f u~ ~~ P~f~ f,~~ ~~ ~~~~ ~~ <br />r a • <br />L / Q / ~ ~jQ.GCt~te <br />~ ~o l~~ ~~,~-r ~o ~ P e~ff ~ f / a ~.Q~ ~~~ <br />~ ~ ~~~ ~~~ ~~sP ~ ~ d~ ~-~_ <br />' ~~~ ~~~ s~~ ~~~ r~-~ ~~ ~ ~s ~~~~ <br />e ~~ ~.~ <br />~f ~< <~ ~~ <br />e p ~J~ <br />~ ~7~-cr- ~ sG~ -~/ f fa,~.c.e . <br />~,,~ f j ~ 6e l~l~ ~7~ ~ ~G `v ~e~ if <br />s ~~ r f ~~~ ~vs-- o ~ ~tes e ~i`~'~~~ -~~`'`el, <br />I & E ontact Addr2ss <br />NAME <br />OPERA <br />STREET: <br />CITY/STATE21 P: <br />cr. ^ CE <br />^ BL <br />^ FS <br />^ HW <br />^ HMWMD (CH) <br />^ SE <br />^ WQCD (CH) <br />^ OTHER <br />