|
~~` (Page 2)
<br />~ MINE ID N OR PROSPECTING ID k: Ip7-p•~~'~•'~ Y •
<br />,; INSPECTION DATE: ~ f - 4 ~] ~ / 7 INSPECTOR'S INITIALS:
<br />OBSERVATIONS
<br />Go K P c.P-Y'e.A A- P ~~ -a L FeJ'~ P-e ~TGmU o R st4-a 5 ~P~e/tA~Yo~f 7Zi
<br />oI3~>zn.~e Coo.5g57~.t.c.Y'c~trJ t4-~T'r-yr-~'Le5 o'F r!'Fe f~F~A-c. ~i~e. 5e2~1
<br />F2~-(Se.. i-1-oc~ev ~R, Y`a~c._ Ce~a.~-rRAe~trrxZ (,q~tfe5 ~S-7~.u~v~iO'~
<br />Wr4S SYd'LC. SGiRJe.y[N6 7`!4e S47Z.U,~TtilrR,e iN O?2•fax.~z Y't~ Qs2.Y2Rrlagi~
<br />(~/3~2. ¢.~E5~4'vA76 eLet~1~4YLo~-1I otL TG(2 ~.lReS,'i1 G.xf,~rl~YZ~AY
<br />pc,T-tv~st-eg r-~~xse. sD ge.c;t~t ~.~4-T`e~r2 t~Y7~e ~4~~-~~aai.Z 50
<br />e-(R . S c.~T'T r_eu.n 5 ; -o-d K Y7~a-cs -u~s P e.~se~, Qas A. ~ R a3z TFK
<br />o-vvo~~ s 671e .
<br />R e.J c R.~,.: 2 iJ ~e ~eq-erba. (~a}-p~ ~l~. RrLb-t e.•p r~-~'2 0~ c~ U{.1~e~R, 62ouA1~
<br />b~c6tse t~eR.tCC~3~S o~1 l~e~a.3 N-GZ.(_, czrass~-n.uc~'~za~t of~ vssie
<br />~~-w Auren.se o-cu S~ S Fe,07~ 2e,v~e.,rza-~tio,u ~!-est uz ~ ceS mob- ~t1e
<br />uPf~t2 i4ReQ~-1.A G-u,c-e~vd- w~r}sv~e. p~u,eyt° ~cc-~T ~a~9 ~h.~ze 5J4e
<br />a-(?R.,¢~~IQ L S r-~'~L©Ro Sen,pe~i~ Yb~e Sesu,Y7~- E~~9-e.[as~ c~c.e~-S t.pF~S
<br />~J iJ t,~ 2~v~¢. Y1¢TLo-k ~ W Y74Q C~,ulF rz2t-~ t~ t-c r~-{-+.~ 6 R•R.~+4-,
<br />C~T-'n~-u~.c, v~o ~rvre. ~at~r~ ~ ~v-r-etiu o~p-e.n ~rzv-e ~4-,ee.,~s,
<br />bISC,~¢gS2.4 TN-2 I~CTtut,zce.S [~ Sc~tl,~w 6u.c.c+ii-F C P~W{8-RlatG Tie%
<br />,.,,srtti sxe., pu a-t,P~ ~e-r ~'/lte~4-~ .4~ A ot'a{e.{R c.~•e.~-2~or~ q ~ rs:w~ c~ [~~
<br />~4 C~ t! t Yi,2.S ,
<br />-~pJ iA ¢..~ '~41e. Tau r1 A"6" YEIQ tI ! C TtrrQ O~~ I,C-2. ,
<br />I & E Contact Address
<br />NAME: JC..~`TY' (,~~•.AAJ'( S
<br />OPERATOR: ~R2t .e- ~/ZPOIc' E LrICTi~R ro0(,.h iHlgj{j,J~ Cp
<br />STREET: ~~ ~, ~OX 19 r
<br />CITY/STATE/ZIP: UI ~ ~ . Sb X60
<br />,6e2~faaJ Keyr'--e~ec.o
<br />,~,F-t S~~N.s
<br />cc: ^ CE
<br />^ BL
<br />^ FS
<br />^ HW
<br />^ HMWMD (CH)
<br />^ SE
<br />O OTQHER (CH)
<br />
|