|
. .AO
<br />~ (Page 2) c~u ~ '
<br />MINE ID # OR PROSPECTING ID # /1'7- ~ ~ _ / ~"
<br />INSPECTION DATE (//-~ ~9'~ INSPECTOR'S INITIALS GyG/u
<br />r ~ ... .... ... .r• I
<br />OBSERVATIONS /
<br />JGtr> /= L~ /ricr~i~~'v /vi. //.d-~('~r;,~ ror~r[C~[i-c ,,(' G S a. /~Src,L~
<br />/- /
<br />v-,~ rLCrrr..-C ;:,~s~xrri:..~~ ... vi~c.c~~cvu„~~ /~j:C~G°cf~..~c~c1 G_•-.~:,~~.;1 'i...r`
<br />/ /1 L= ~ ,~ , .~, ~, :~ 'c'n t r ~ r, s !1.c ~ '/T.~ S / le Le ivr~;-<' e rye ~, ~!~,
<br />~$rn /
<br />% 1 ` ~ ~~ / I-'.L/SC,. ~ /v~ ~/~f< S/Y C, LLG~G is ((c.:~~r•1L4:;.~~
<br />_ r
<br />GU~,.~7~-/.rsh / ~'!%,i?, l..C PvL /V1~Sonr Toa.v o~~~/~N,/~
<br />Taw, F~cr-///log, ,T~...,:.~c' YbIV1oIi /nnr'l<'_rro~rtiC/ FaU/c~1'/ ro.Lemrl t/s~
<br />~. (/ E `J~•i ~ ~ d" ~/ li, ~.Prts- is WaS l ~ ra~.,,r~-c -P
<br />~i. ~-f a !. e~Zf ! ~ c do ~.t c- Ma ti.L
<br />J./C~.w~ c~/ -/ Fa/~/[/ /~.r c;.rrc( ~rav._.5~~ ~v.r ~/~ -~;.z_ Uie ~S x j<<i
<br />-!(. I/~...trLc OrC'. LN.,, ~L, L~/!_~c..-F1. -C~<~/nr/~: S G-% r~,p ~C S rn ~~/r-I~_ ./ LntifL
<br />• C,~=~YCi-/or /S G'L•~Ct[/~r.-C 1i•L /%lr.~._.r/..:• (1,..`(~r ~/~~C.rnrSJr-y ^'~ ~, f~;1+o c~.S.
<br />/ / 1,
<br />~ / ~t c~M/~~ -~U. /S -7~/J .~. 4 h ,m"f 1.: ti.c ~/V/~~rnn T~/c Jo -~i. ~n~ s-/ C=C E',.'n +.+; ..1 ~
<br />'7C lC ~'r.d pj J/err.'/r:~rC ~ `a LC- ~/v/Sri L~f (o-c.C 7.y,r.~ ~ ."r T~G*ri.~ !~"/~qv/rl//r-~2
<br />G.F /~_/µo~~c '~v 5, 2. `rte
<br />e
<br />~~7774/~ lw/v~/C Qri rl /~rur/~Sr !1r .•M.t^C~e ~.rC /., n.a v~A ~vrn "7/~-¢. 5//~'E..
<br />• (T$ (/L!J/~GC On ~.~ `J<Vira/ /}1p ~V/rC'/•vn5 p/+~_G ?/Jr/P yL~.v LC :l iGCrr'[if,G
<br />/- / r1
<br />C/.-/iL+ Alr/~ (mac rv w.tsc( -/~ ~/aL(r.CQ ~~ -/r c1,tif./~./~.,L, /s !s.nr~~n. f
<br />?I^-a- L- c..,-' a..2rv,,,.~F ~i..e ~ p r~ -~1,.~ L~. ~ cl~;. r~ /s r~ P/, cam.
<br />f~/~ rzcr e ds(l an.~c.: C~2c~.Gw~ ~`,e_ rN~//s,/e <.Gwx/r( i~ iE's:r~c(c c~ -/~
<br />/S~2G;/.~ fG..c Jo/+tn~~
<br />r
<br />Tc¢.. ~ c~/(r.ct{.C. -rac.~ '/ /~ ;n Z.r~. / / / Y/r. Mom.,
<br />(,~yF~S.(//y'~ ~O/'L1 Lr-'OY rr /i'~ /'~0/I"FP (~r LJI'L( ~/~C' OIM., C(L'~((NI L~~^^~G/.G/L
<br />_ - l i,L /•/~.i /~. ~P~t r_~. / ~;~4 ~a , / i, c ~ //. 'Lfi. t ~ :lG~ /YwC S-/ ~ SG-..ry:=Clr~~
<br />~nn.e. ~~~' /t~rLf-Cr,~•...cL, j~ a.~y ~f/rftr,~KS x/t(+,t..{s rn la,vr-
<br />_ _ l t't1! -~I.C ConJ4 ~ „r m2.,#: J ~ .
<br /><- . ~w^E r^ / c-n f i n e+~ c rri¢.~, do /
<br />ntC..., Y~ron ovG~~-fu-q,.,. (.
<br />7lw 7a,/r fc s/ [.~ !r,J ~,~,rc~ c.r mcvrr( o~~• L > l
<br />- -fu r,r S /uC aCl .~ o'r' .~ /...rr ~rLU cJ C1 /~/,.. c'r~ rrr c /rrr ut_.LVi a~rYLEv:.~,
<br />j- ~
<br />..%G...C drags rn -~~G.a rV~~~~ v~-'..= ,~f'y: /4:~
<br />-.. V..,,=y ~'.tG/l/~a.< ~,,r",.... .• // • ^ LCi: (~.ir/ Mtu.,...~
<br />I:OY•, 9 /Jn .;/-S( ~a ''Z~P L:0. ~.A 'r~Y M
<br />' / / COM ~ lr. c..
<br />72tF_ L/az. vLL~ LCn'~: ~.w,.,./:.a=c~ /7O. ~oK ~SO9o S
<br />..y~ ~~//~~// ~cw ~i sir Ct .•e.,,/u l.~=f -/>. /;a~.Y ovor f: .r/• S7a'y(C'../ I/~~ 98'I~S
<br />~` -/C7~ J'U/G ~ e / '~/ /,, _
<br />lr~L/r, !{!'J L/ST ~ 5 J~rr( -iv `S.G jI~.//< on ~OrK ~p ra~''`X' l.<w.~ (~.l__.
<br />~ i ~ E Contact Address / cc: ^ CE ZOU~o ~y*~ S/.
<br />^ BL ~'~,Ldf L' ~ CO G'03a/
<br />NAME /L1r . (/I/GLyn2. T~rn'r n ^ FS
<br />/~ - Bob r~L,s~~
<br />OPERATOR ~U/'/'rC (:rn Mn/[^o l/^ C_ ^ HW ~o. CoK 706U ,
<br />^ HMWMD (CH) d /
<br />. ^ SE ~o-caYplLlr,C'u ~os'ob
<br />STREET c7/~S s~-L~"r-`-/'/L'~fC- ~Cc~Y2C/!~ ~LWQCD (CH)
<br />/ 'B' OTHER -/~Grk ~~-.2-/h i /Sr't
<br />~ ~`yw/cC~r rp QO ~• _ , e /YI; /.'d~ ~' 23
<br />CITY/STATE/ZIP 7c' Z ^+1• J:k•:.. ?.p, ~ !5
<br />~~^. (,.., r.,.e ,.~4 ..- Lei yq
<br />
|