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(Page 2) (b) <br />"MINE ID # OR PROSPECTING ID #~Z- ~~ 2~g et' "" <br />INSPECTSON" DATE (- ~ 8 ~S INSPECTOR'S INITIALS <br />`OBS~ERYATIONS <br />T ~f ~ <br />bou~..~r~e.i wvt ~w-•-alK~ G ~rl exo~4~G- 7`o p~e~lr-r~ic.Te 7~e <br />O,cy-..zi~~t/-eat i~^-e ~~-f~''i- i S r'~-1 ~efr;Y.~ 6es2ou.~+-- T® Ge r~~~ <br />r ,. 5. a, <br />r05~/~p' ~~'+%i y~.~-~f ~ t~s~v f ~o~+~` 6e p(itC~ r~ <br />a tGa/'O«c ~ ~.~~~ /2 u ~c 3, 1. t2 . / 0 <br />~;~ <br />7/.r-t vary-Lf ~s ~o~ `r~5 a.~ qc~~r~ fo /-ts ~ek,~I ~ Y~e <br />s~-0/~1~4/'~.~•-L~y ~~ i..~.;..~e .rev-,~ ~o,~-//~e 13Gl,`',/ ,¢_ <br />SAS ~l abcwl 12 aGf'~°f/ ~//a-vim bcr-~"- d(f~~LeG" ~ ~~f" `.~_,, :,. <br />N.yG~'s L~p"e~"'T'~7 ~ocs~/~r/H-c`aore. Z-3 aGref 7ka~ ~-~ ~c~-~- .•a .. <br />C~07+'LUyeftC~ L~,~i ti /~-~ /(1t~-C !-w/K~ d~(f~~QKG~ ." <br />P//M~~Y ~~/a///cam e~fO ?~Q e Yaa .S a G ~fe _~~_ v-~.,~-c~~J D~ a // `~° <br />K<t/'~ dO~i ~~0~1 S L/~ Gw~ f° L/~~C(, LCO~ GyL 1 l~-r~.L ~ <br />Y-e(~~p` ~ ff~s~etcf /ecc ~~ ~ te~~ml~.r-.=cd' a~.GS ~ l~~S ' ''.. <br />e Ges `~o ~~+/~ ~`~ <br />,~~ <br />a~ ~ . T ~ w~-e -bra-Y.- 9. S ~reS ~-ate--~ ~ ems`" , . <br />f yr i~-r~e/ ar/ ~~, s / ye~.Ge `~.e /Go~. ~~~o /1~ ~ La`"~ <br />f !/~i- fk Gl~ D LLGL+~-Q (2.,/" ~j rt ~~06( 6+/vc.~ p wv l ~BLp/; ~+~r-2,. l <br />Q ~Of~ Ce ^L• ro ~~N rs'~-r o~ sGC~Oz^, 3 Lt-~ z - l Z r toY' ~iz/ (/~`i~ 7a Go~kpl~ <br />i & E Contact Address cc: ^ CE \ (/ <br />^ BL <br />NAME ^ FS <br />^ HW <br />OPERATOR O SHMWMD (CH) "y,~ 7 <br />STREET ^ WQCD,7(~CH) <br />^ OTHER ~ ~~ <br />CITY/STATE/ZIP I <br />