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(Page 2) L(-a~~' <br />MINE ID # OR PROSPECTING ID #_/"I-8Z'G9O <br />INSPECTION DATE 9`!/, "" 9S INSPECTOR'S INITIALS_~~ <br />OBSERVATIONS <br />~~~1~,~ /~° ~/~ ~~/ ~s/ ~ Q fly/~ °~ ~ 6: ~ ~~-,~~~ ,,.~1~. <br />r r wGS// a bs~,''v esC 7~~ a.]F 7~G~ e JG`~~1 e u-~~zy p e t fcC~.~/~!}I+-~ a~~,(f~61 ~ ~ <br />P.~'GGPpl~ ~- ~. ~ sa~.ettl6Y~'*Za-email w.cf rt~ ~~/~ //~'-'C /o~° ~~ ~ °`'`y"`" <br />1L .~`// ..ms~si (S roo t /Gt e <br />s/~! /c.~ /u-L tl~ ~ ~` Lt2.c/~~C~/sfl~e /fro ~° / <br />° ~e ! ~.e fl° .9 ~k col c°u.~0~ /J2 ksP2r /.~ accl( /~'-~ <br />f~zcG ~w1~f~~,Ky.~uY /° /~~~yy-f ~.iu-oc 1D~~ ~1f~°~a ~ol/'t~~ ~t'~"r ~' / <br />..1ar-~- /> /~-~ noy'7li- e.~qQ °j~ ~ e f~c ; l.~r ~~ "`°v ~6 ~ ~~st <br />o.,.,cl <br />fly ~.,~(/~o .,..- ~ r .~ it y/ s~.~-e .,Q Y ~ ~/~ /~ <br />"' ~ - ~+ti-e~CU-..-,. cr„„-~~h°'~eT~yr-- ~ e oPYILfe7~ lG-~r.~" Coitflor-S~ <br />sl~~ r~1~~-~- ,.,~..~-7~.v7~' ~-y~~sl usJ ~ ~/ ,o,.~~ ~e Oivrs«/~- : )`~e <br />f[°~Pi ~l~j ~r~l~~e~ la~ de feeO~~a.z~Cftv4~C f~Cc,eJ <br />p/y ~~ f~,,i~~/C~~ wi7~~f~t_ ~°1-~OS,df^~' /~GO..a-~I~j~~~'`-~-H Sn"4'~ /Lt<(+~ ~tj1~~1/~~ lSlo/~ <br />ws~ /K'j mC/~~ j~.~~~~ 1~CJ`~"/ iE-.. S've.Ke Q~~sco-~+~ ~'T l~C~~ - <br />rGr~rve° 4%/' j~ ~/2 e~~Y~J-~c'/~ ~fo /tri+l-+.f/o~-4~- /~/// ~ S ~1.,~[ y~ 4n <br />k-..~.~. uIT"^~7Lf~r//~~ p ~py~ w1/G/GT-lr~G ~ lJ`~'-r~`f/f~l ~ <br />7~..~ ~C s ~~pc ~s tftable ~Q~i~~/t ~~ro~~/~ef~ ~i~~ e!'isioL; <br />yrty~7~ f~l~( 1'd[G~rsC ~"~Gl ~I' <br />-~a~;l~~ ,...,'l~ ~~r .s~~ ~~.k..- 2.5n~ 1. ~~ ~~,~~ s~~~ <br />~rr~-%,r..~i~i~l r~e<~a....~.~~- o~~ ~d,.~ fame, <br />I ~ E Contact Address cc: ^ Cfi <br />^ BL <br />NAME ^ FS <br />O HW <br />OPERATOR ^ HMWMD (CH) <br />^ Sfi <br />STREET ^ WQCD (CH) <br />^ OTHER <br />CITY/STATE/ZIP <br />