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i <br />• (Page 2) • <br />MINE 16#ORPROSPECTING ID#: f'I-(VT~~-a7~ 11 <br />INSPECTION DATE: ~ off- I J~ --~ INSPECTOR'S INITIALS: ~J <br />OBSERVATIONS <br />c,o r-t ~ c, ~,re. p ~a- P A-R,n ~ r zU S ~ec,~-~c e~V 6~ '~1~~~ G P~e~er4 vzo u Fa <br />b e~T2..i? P-I t ~l-e w ~, ~e.~`sf-e R. cs2 aP@~' Y'L/2, o l°e,Rq 7-OR ~ P~. a e0 usC ~ <br />-r-t.~.e c~ e~'rF1~3e2 /L, a-moo ~R.e-e-Y~r~cre .9-~v-lD'J . <br />,q. n c 1~, ~ ~.1~ S r C~e~; ca.~.w-s X07- ~~u app A-7-- ~~~ ~ cv~e pu,eraTG <br />Y't~-~e C~ e~'~~2 / is5 P2C,vz oA} . F7,fe o ~e2~`,,2 ~RI-S ~f~ u /Re ~ <br />Yb ~~r r¢c° ~ ~R7 ~-7JQ, Q. c.ps¢FH K ~~s~ ~ !J 5l 6 ICJ A- ~ ~Z~e ev rK'~9+Jce <br />G t= ~~- +~'F~~R/-tr v-' A-R~,4 Pr~c2s t.ol}•e:~?' 9-o RuC.e 3,~, ~~, <br />`T~d,~e t:~ f~~.2AYa~- ~~rPL«/~ uSrSr'~f- ~'~- ~.o2R.e~,r~ue ~4~y-«ael~ <br />D 1 p ~voT a~ Se2v~ ~~~ o~7de/Z P~-o3c~erZS , <br />I & E Contact Addrf~ss <br />NAME: 1~ t ~o ~ (~L T'7' /c' <br />OPERATOR:_~~_ I OL1 p~~./TLtdL3T~ <br />STREET:_1~~ O /5~/ ~ Q~/~ <br />CITY/STATE/ZIP:_ ~=~}-D ~e t5 ~O~ <br />J~}o-ceS ~~ve~s <br />cr. ^ CE <br />^ BL <br />^ FS <br />^ HW <br />^ HMWMD iCH) <br /> <br />^ WQCD (CH) <br />^ OTHER <br />