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} <br />.~ <br />r• (PAGE 2) <br />,i MINE ID # OR PROSPECTING~ID~#: ~~ / - ~2 -V Ql0 <br />INSPECTION DATE it-_~~ Lq 3 <br />OBSERVATIONS <br />INSPECTOR'S INITIALS 'C~S <br />/~ ~ C ~ 0>'J C~/JClvl ICJ/ S <br />~~ <br />~ 3~ <br />~ c~rr~~L'7e~ ~rcC~ie.Q~ C,mv(.a~f ruG~ o~, Opt G , <br />"~ ~~ - ~~2e_ <br />~G Cc,Cevyorl ~ O~P~i~ ~ _ ~ ~ C <br />` ~ ~ ~ yi-1 ~ vr~~~e ~.~ ~~oJv~cP /Z-~.~ <br />q ~~ o~ ~- <br />~,~-,~ ~~-e. ~ sl~ln.~~~~e c cruel ~c~ ~-,-, G-e~ <br />C~~ ~.~~~ ~occ~~ <br />-,,-, ~~~ec~ ~ ~wc~ l,~Q-P yic~ ~-e, C~rs~~-ec~ <br />` v s~~~ ~~~ e~~ <br />Cie ~1 U'1~- ~ ~c.Q --Q-~.~ ~ /~~ltine C~Qi i~~/~~~ - <br />0 <br />I 6 E Contac__ t Address cc: /'/' // /V~"" <br />NAME _~~ <br />OPERATOR n /, U ^7 G ~ ~~~~(~UK~ <br />STREET °~ 3C~ ~ ~ ` /A Y ~~~ <br />CITY/STATE/ZIP ~y/s/ Q' <br />M:MIN\OS.S\ERN\INSPECTI (10/92) Q a/ 0 <br />