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(Page 2) CZ ~~/ • <br />MINE; D # O'R PROSPECTING ID #: ~`'I ' gP -Q/l <br />INSPECTION DATE: S-ZO -~ fT INSPECTOR'S INITIALS:~~D <br />OBSERVATIONS <br />~ow¢vrT ~ ~ ~"'l- co ~2~1 S ~i d S~-1' '~`S e /~ ~ <br />l'+-~Yc-.r.Es I h- <br />~tke -P-~-e. ~~s ~ 6~ Q P~61~.- ~~ol«dl~ ~ . <br />(~ ~ a ~ w ~ <br />/Gtr a~ /~/~-v° lOcctl y ~r,.c~ dKr~f ~.vl (~n.t~ /r.~ L ~ c ry...c f itf~ <br />~ ~ / ((( o~~+= <br />~~C/-t"~.~~ arm ~ ~(,.~ .~.~s • 7~ufc s-r«f ~~~ ~ r° Gl't ~~ ~~ <br />~o prov~ Csi~-~Qi~^-~-~/.K~f~•~~kca~,~ ~e ~t~. ~T~e <br />~~.?iL O/ti- /Gt~rr1 // i~~l~!lr/l fuyGGrll~~ <br />Y,.y~ ~i~-e- f~db(e /fir S~ S l ~~ <br />/w~G G ~~ ~o l~r ~e ~ .~/ ~f,C a~`e,a <br />NU D/Gtl~~[il`Plf~Lf JN'a~~ ~~`L_ <br />I & E Contact <br />NAME <br />OPERATOR: L.Oj /-~y~//fi~dS GO ~ <br />STREET: 20O G , w ~ <br />CITY/STATE/ZIP: d ~ Z <br />cc <br />^ CE <br />^ BL <br />^ FS <br />^ HW <br />^ HMWMD (CH) <br />~ WQCD (CH)~P`~' s <br />~~~ 3~«er-r- <br />