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(Page 2) L"2 • <br />MINE ID # OR PROSPECTING ID # ~'/~-~/~uG7 <br />INSPECTION DATE ~D~~1./SIT INSPECTOR'S INITIALS ~bG~ <br />i <br />Q OBSERVATIONS <br />Y'2G~~zMci~~6v+ /~~!/vl c7l~l /O~- ~l~e fr~czHCroC U/Uhi'~wTj . <br />M: ne ,Lc/an/%TtCFr/lb1'1 Sr9h . <br />,~1 TbE MG2b percnrf nui~der dins 6eeh u~e~ fo I~'l,2 eXrsfvng Szgv>. <br />(G/_ I~errm~~eT~er ~url~'eys <br />Tie verum~~er oar fle c~-rr~e~~e~ are~ti l~Gs 6eeh ~%~r~rM~l fo d e <br />a~/e~a4l~elv~ r1eGr~er,.~e~ 6use~ o~ e~ s~G~ 66ser dc.6Le Ali ~zi~-es s uo~ <br />us ~~e perz~~f~er- o~ f1,e ttiris/`e roc/r Prle ate.( nazv~e beyc,~i, <br />A~/r~o~G ObS~r-~fdhS <br />Fresh was~e ~Q,~Brt~,L fro+~ fle ~zye G~Irc-,r~ G~P,ril~ou7 oPer~foh <br />Gus hee h ~ePostl~~ utrLtim~ fl,,e otrct~y e wri 5 0 ~ f! e s e,~raLL 9uL/~c G, <br />LocG]~~Q ~wsrtaeLc~sure,Ly dclj-ucen~ fo fie was7`~ YoGk /'l le . ~e oPerordr <br />hee~/r fo/ etTCiP.r' GLG'~iN firs ~~uxJ~crl~aCau7~ o~fl+-e, c~rctr~5e or coys7~~uaf <br />a cuL„~r7'~ bhazss sup,! ~Gaf ony ur~s~ur6e~,l urea, rUnv7~f wzLG~,of <br />wus~ f~P. vvus~ tnueferla~ o~ Stfe _ <br />I & E Contact Address ec: ^ CE <br />^ BL <br />NAME ^ FS '~ <br />^ HW /,( <br />OPERATOR ^ HMWMD (CH) S ~'/~ <br />^ SE <br />STREET ^ WQCD (CH) <br />~ OTHER <br />CITY/STATE/2IP <br />