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• (Page 2) <br />MINE I r # OR~PROSPECTING ID #: y] ~/7 ' o fJ~ <br />INSPECTION DATE: /O'~6 ~/r~ <br />OBSERVATIONS <br />INSPECTOR'S INITIALS: C~,(S <br /> <br />~.°`/~ ~, .~-~ °~~.`°`~ ~,",t~a , BBD r.~ -,~G y s <br />L' <br />~~~ - ~, <br />cc C~.I,~ /yls~~ n r~ ~7 <br />I & E Contact Address <br />NAME:~~.. ~ e-w <br />OPERATOR:_~C Minn ~nn ~~ G <br />STREET: [{(9 ~/ ,~ S.~/S /~-o~-c~ <br />CITY/STATE/ZIP:~x,~...,~c,Y ~.Ai~s <br />cc ^ CE <br />^ BL <br />^ FS <br />^ HW <br />^ HMWMD iCH) <br />^ SE <br />^ WQCD (CH) <br />^ OTHER <br />