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• (Page 2) <br />MINE ID # OR PROSPECTING ID #: /`j _ ~~ ~7~ j~ <br />INSPECTION DATE: ~~-~-~Q <br />OBSERVATIONS <br />INSPECTOR'S INITIALS: ~~ <br />Ca~iPtlz.~D~ ,~, PR-R7'i~t i. (tis/~Ct-'Lf~! 6R T4~t5 ~f~p-YGa~J TD see <br />iCL `T~-le_ PR-'~~CC?H~d,f~S~/2v2.7~ L~~G2G~SG ~''H~2 fFUGU.ST /7 a-OaO IASPQCT7~ <br />t35 K}5 Q~J4R2~ r l~.p, <br />'`('ice o pefr,s~~/~ u~~i-5 Rx,c~ W~.2rLD Yv PL~c'.¢. (-~e.R~tt Y-" ~su~v"ca~ac,y' <br />~C~-kK~~S~ ~~ t-totisuo-s~i~ So TF~-~` n-Fe. ~erUf~317M¢.~ r S CcQtt/~c.Y <br />IFS tuS(_,e. Ra-a~p A$QQ t-l.~t-+`-'e ~ `~~ Lre~re.F~e 5uC~. ~B~.enJCa.~reS~ <br />'r'G1.rz- OPe,2A-~R (~c,<{-~-e.~ Q- calo6b 1R35~r S+~P/'t9-~7`c.A Ci`~ CA~~~ <br />pr~c1IG.S~ /-F~ e'4 C f-F dORtie..f-t CsR Y~4~. P2(~' K[Y. ! l~e.l2rz ~6/Zes T/~2 <br />CbRfZR-o'f'f U~ ETC 6n.S bfdr~ ,8~n9 C:O4-C ~LCG-~,j tx~ LT'y ~¢-~(3 rJ 7~{' <br />~n.o~ c,e.o-~ K-~-S /a2t~.~ R-~5~9-v~D, r <br />y't4-e a (~en2.~a,~R us~q-s RRC~ u e Rein ~ Res ~o~ ~ ~o a~ p r ulStoe~! ~ <br />~,e,U f s ra p ~! nI~-n) G r ~}t LS~q-~(,2~-~~4' RQ Q u.[~. KIT e 5 r l ~'-c.~~ ~ Y <br />o c~ na~R t , 2-~ , '~'~{2 o PP•24Y'cs1~, R~ s Po~T 1~~z1~ o~ ~~'?~7~~2 <br />a~~ 20~o Se, ~r "6F~t 5 (~R.~dC,~K N~q-5 13~•J fi-6.~t~'e p, <br />No o~'i~elZ P2e~~yt~.~5 ~e:ke O1'vS2R~p. <br />I & E ContactnnAddress <br />NAME: L~ it L ~TL /a-~ <br />OPERATOR: ~[n~~~p Q u 6F~~tZ <br />STREET: .~'](~ ~ /STN ~TfZ~~' <br />CITY/STATE/ZIP: ~'q~~Z s-t-y r., ~~a~~ <br /> <br />JRKeS ST'e~e~u5 <br />cc: ^ CE: <br />^ BL <br />^ FS <br />^ HW <br /> MWMD iCH) <br />S <br />^ E <br />^ WQCD (CH) <br />^ OTHER <br />