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(PAGE 2) <br />MINE ID # OR PROSPECTING Ib }t: ~- g~-,~4~ <br />INSPECTION DATE _ ~ -I~4 -Q3 INSPECTOR'S INITIALS J <br />OBSERVATIONS <br />TI-f!5 P-~- wA~S 1lJSr'8C i eb ~5 P~4fxT OF TFie n.fa2rr~L Iti$~?CTlD,U <br />/}-~ p e N FonCe r-lelt~r PR06i2,+}M, <br />i ~e (a(T ! S C.oei4`~'e1J ons 7"k12 No14Ty 5r ~e o~ [1.5. h`f6EfWA'~ a¢ <br />g13ouT 8 nILeS WEST o>= CoL.oa~4D~ 5P/zinSGS, <br />~r 5 fC~n3 !5 JN PL~}Ce ,4frA THe P2oPeRTy /~ou.es>Jq./2leS ~4-Ke hf~{fZK~, <br />7}~e OI~eRgTar2 !S fe,7 carlPcts33ntC2 wlT~ Tl~e RPPieoueo frlrvru~ P~~. <br />On.1e 7o PSoiL FlLe 6/J 7`!~ IUo1~'J}f Q.AS't~ sr De of T/f2 PeRH 1TYeA R14.eQ <br />1 $ WeL~. ~3¢Ge`i'~L'f~D grCSl~ 5'T7413L2, LE ReceiC7'T `7DPsorL ,o/~e WlLC, <br />rJe.~A To i3e 2eSac'.Dr;,~ iF' !T l5 G.eFr uosDrs'TUr~ep Fok.h7a~ ~'/f.Cl/.J <br />pfJe Gr2owr~sG a'ef~TSpti}, <br />y4. Recb2raS Do JOT ConJTSi-IlC3 A Pek~aa!-lffntCp., C,1~},~Rf~1+~', oN2 <br />w1~1- sad-ve'>~ /Se 5uae-rrrr~a 8~t ?Ffc oPeRr~k /~y Tl,~e CoaRe~:i~e <br />q.d.~rtoai ~R-Te~r~R CR.S 34-3x/17 Cz~ <br />'"Ne ~~(ISTl~~ ~ 1, SDK.pG F'/l3,4/.SGib~, u~Ai2Fi.~4is't'Y /~aiUA ~CeaT'1FIG4TE° <br />o>= p~Po~rT) rs hloi' SuFFr~feuT 7-o PsFY X02 F//J~4-L Re~L/.}w/}Tto~ <br />CessTS . `T"!~e /.~cr,] rJ tiTee.DS r b ~3e /~se2egsea `7D ~3, Sao. c~~ w lTf!/N <br />(pp OA`r'S PeQ Ca5 34-3a~- r17 (4)(C~„ <br />I & E Contact Address <br />NAME _~ ~ ,Q Q L.eS (,~ L.LC 1 IC ~ <br />OPERATOR _ ~ b Lf CLFI {~S i T~S~ ~ <br />STREET /@X Z <br />CITY/STATE/ZZP GRee.CS MTN ~,A-1_(._~~ ~,~(~ <br />M:MIN\OSS\ERN\INSPECTI (10/92) <br />~~: J/~ S~r~U¢~s <br />O~g/l <br />