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p p--(Page 2) <br />MINE ID # OR PROSPECTINGO/IUD # ~ 7~`0// <br />INSPECTION DATE 9 ~s~77 INSPECTOR'S INITIALS <br />OBSERVATIONS <br />/, /ife ~. ~ t',,rX" ,,w'°a Oyu ~G~~tir~~ ,~ ~~~ ~~y <br />~;~2~~~ oT,~.~.a, as o-~(~+/ ~ C.o ~J,~,.~~~ <br />iEe~~~';' /~°°~°~ °" a5; / 995 /~~,~ ,~:~~ ~~ <br />.mow ~w E~~•~ ~°~..r~~r~!~~. <br />~~~c~~ ~ ,~-~-~-~ ` Gee ~~ <br />/~) .'''"tom a00 ~~~~'~'~,.~'B'y,~scl '/~"'`°n'~.r~^~R .~C~~~/~~ ,~(~. <br />~~~~~ <br />,~.~d~ . <br />.c~,.c1~',c~,q~ (C.~O/0/ ~o,~' ~% /~,~,irn~~.r~jywa-~c - ~-Q'.~7.~~ii.,~c~O~ ~..~,~ d,~ <br /> <br />I & E Contact dr~ess~ <br />NAME /~~ /T.u:T <br />OPERATOR IND. C-Q/U~ ~Q71'PtiQ- <br />STREET / 1~. ~J~J ~0.~~~//~'/\ n ,I,, <br />CITY/STATE/ZIP /%(~~ CCU d~7~o~- <br />~~~~ <br />~~: ^ <br />^ xw ~~V l/ <br />^ xMwz~ro tcx) <br />^ SE <br />^ WQCD (CH) <br />^ OTHER <br />