|
<br />• (Page 2)
<br />MINE ID # OR PROSPECTING ID #~ - ~ S~b(o J~
<br />INSPECTION DATE ~_~t--c~
<br />•
<br />INSPECTOR'S INITIALS J~
<br />OBSERVATIONS
<br />G oe-4 p c.e-re D /~ Fq ~'7-i R-~ ! N 5 Pee T'/o~U a~ Tlf/5 s I Te RS PA-R.->- o~
<br />Tie tiloR.rt~ ln55Pe~,~tvc~3 Rt-i.3~ c,~P'oRCeneAs-T A2a6R~4-rx,
<br />`i"'1~1-2, bf'e,2e~-'I'WN 1S Le>C~4'r'er, 5-K~LeS ATaR~r1F Ada ~Hrces
<br />Qt1J151ON FZcC°.oK,~S !Np(~/~~ TFf-/5 tS A- a ~Re peRrriro
<br />4 r-t Y', /tcL orz D r a..~ ~ ~ 9'14-e !'eQK r y- q-PI'~.r e~ r r aN ~ ~"
<br />"~`~ 2-n3~ Irv A-SQ=~t~~Y 12QSPOlsSe F=20IY T74Q. ~7'e2AYa12 )~Tf~2
<br />`T-D~4L 1j - s'i^u213e.tJ RR.sZ~¢ v.~l c-C. r13e ~j F#CfZe 5. Cu-R+zee.s~
<br />D t S irZ.i.2t3 /4ti (R r 5 /$-I3~u.ti' 3 -~ ~4CRe s . SJ f t> I~Tc~rl' CsT35~ztJ~,
<br />ANY /3eru.nsD~{-2Y K~-l2~erzs So r~ rs ~csot- CLe~-,2 Nuc.su 4th,
<br />TFf-15 /'e.2r`l r T r3`', S lee. `'r`c4e ~-1iP20u-e 4 p2FZ ry ! T- R-c.Lcrw S
<br />t~R q ~2.e-S cs~ l~ r s ~-u~. /~~ee "(fie o-~iz.k+-~o2 a-fu s'r
<br />Pu.2S.c.i,~4nrT YZ7 fZu,CR. ~3,{,la, tSeL/>`I-.~,~-ice TId-e Ril~2r+
<br />`r'F~-r4~' eAs r ~t ~, e rr r tire p (p 1 STU a./3e D~ r!-feo.3 .~ eos 2~ ,a->J R~u,4,a~`t~
<br />t-tea-P ~Pfi2su,a-,.~~ ~'p Rc.tc,e ~~z,t(;a)Ce.~) ~a Tl•{e Dtur~t~~
<br />S tti esW t 6~ ~ us Pn. e YLR V--Ffe ~ M 14-/L'KrzR,S ~R.e. G ~Co~ ~ lJ ~ r F~-2
<br />r3 Ou ~ b p-R ~ fJ 1 0-f e/J S t cs ICI S kt-~ L7 9'/f-be. t-.OH'~t-TG07J a' F 97~ e
<br />~>cls`T6dJ~ Pl r ~~{5 LJILi... /~Q, ,~meA A-5 A- PRo%~L:~rl
<br />a~J f'/-~-C-~ 3 0~ ~i'6f15 f~2-PoR.'T',
<br />/Jp H r AT(Z ~ D 51Gai q~Y" 4'[-E¢ ¢n3`T12~I~,Q o F '37aE? (~1-Tr'. / /~3 5y'iF LL
<br />/.} r--tn.Te TD SIGN PuRSU.4rs?' -rz, Rune .~,l~la,
<br />11-t¢ Ol~+L2LETOjL FtQ-/t-C'.~ Tm Stt.J$K!9-FF'~.3 L}~3/~U,fFC. F'~-2 RN70 /LCPOIZT"
<br />/3Y `i'k#~2 OCTO>3e2 a77 19`74 q~sAS//e25q~l2y' A~+-r^e ~S ~eQu~n-ems ~sY
<br />Cf2,S 34 - 3 a - it ~ (3) ~ C-t;). r 7-;:e csAa 2.q~-rerz rr u sT Su v3,~, ~ 3- -rNe,
<br />,Q-r~,nr(.+,R-~. 12e.i°oRr~+-asp 96~aS~ao ~e t~oR ldi9~ /3~'t 7~e l~ue
<br />D~`~-• ~G4tS !S ~n~A ~S A- /~i2.c~3(.e,o-7 onr FA6e 3.
<br />~}{-P..t'~-e. I S /JO (~~lL (zts/L./~-1 f~-C2, w~~+"2RR~'M °~~T -~I ~ RS ~~ u l2e p
<br />r3Y G2S 34-.3~--117. O!''e2K1-TDY1 ~C3e.¢.~5 -TO 5~e3s-/ate' q-
<br />~/.~,nP.e,1Z(,,Y c.ov-a!°t,2.~ab peRFC~Jer-4R~ce W~FRR.q~ ~a~urte+~t7-
<br />Yb TKO 1J / vl s c o-r~i !3 y ~-Fe D u, e, a.1~
<br />J /!~-r S `Teue~s
<br />Z ~ E Contact Address
<br /> cc: ^ CE
<br />NAME _ ~jtQ~ © ~Q ^ BL
<br /> ^ FS
<br />/7
<br />OPERATOR 2l p ~ /P7~.(~(~p ~~"(
<br />a '!~'fJ
<br />{ H
<br /> ~
<br />,
<br />~~'~ 7 ^ HMWt+ID (CH)
<br />STREET
<br />~Q ~ ~X .C~Lj ^ Sfi
<br />_ ^ WQCD (CH)
<br />CITY/STATE/ZIP KDe~7 'T~ y(S'~ ~ ~le ~ ^ OTHER
<br />
|