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2~~ <br />. • (Page 2) <br />MINE ID # OR PROSPECTING ID #: ~~% ~ - Gv <br />INSPECTION DATE: S`~~- GI INSPECTOR'S INITIALS:~~ <br />OBSERVATIONS <br />7/-~es~ s~u~Zr-~~y~ SLw~-s' ~/ re ~a~le~C l;zQa~cPr~iace w,`/~r. ~iep~P/'/ur(` <br />.Z~ a eG~l /~' ~ ct ffaUl~/~/~ o f s'°i'O` !f 1/~- c~ij~ 7`~ e -Y <br />cre ~ ~,,, ~ ~f eat f ~ -~ `~- e 6rl~~e ,/~ `~ <br />~~f~~~ ~ e ~ ~~~~~ ~~ 60~~ <br />~ec~~uuLf /P~ vlfioi~- ~ 2 Wlr«~.- wti.~ ~c~~.~~/v~ `~ati, usr-~ ~ l P~~ ~" ~~ <br />o>~G~~c/"~e. /~! ~~ f wag of / e~~ -f~dG~'~O~~[e <br />,.~ s ~ <br />s`w~ «-t7~ru~ ~ ~~-~ ~~ <br />revlfe ~~ ~err,~, f ~ s7~-e //~-t° <br />c~yr ~ 2 w! lt-c. ~1~~ Q-'Z 1in^- G~~' Pte-/' ~,,3'~ lv~ e d~'~f <br />Mete <br />~/ tllcrcPy~O/ ~ ~oC ~~'": f H2lff/~` B0 <br />^ f / ~ ~f ~ cz f SCCGGc- ! ~- /Lc r- <br />C( GvlL2 /(iv+~-I2L~7~1 ~t l ~l ~ Gti'~JrO!/~ -~ p / y/- <br />~~r~-.+~ . 7,~~~e" ~ru~lf t/ ou;~iY be ~iU~wv~ ~o a ~Gm~e laity-YLr~~ f~cl i f~ <br />/~~ o~-~~Mhl~~ w~ Uf7Serr~~' (~ G~~~f ~t~-~~y <br />I & E Contact Address <br />NAME: rlQr~T~I,.,,irSii~L cr. ^ CE <br />.,,LL ,,JJ ^ Bl <br />OPERATOR: a c c 6 t 0 Q./~7lLCf <br />STREET: 3~ N 7-edo~- ~~YPP /, <br />CITY/STATERIP:~~~O ~,o~~' Cl/Q~~G~ <br />^ FS <br />^ HW <br />~^(HMWMD (CH) <br />'O WQCD (CH) <br />^ OTHER <br />7~~.-.-Stevens - Df1E~ <br />