Laserfiche WebLink
. I _ `lam <br />(Page 2) <br />MINE ID # OR PROSPECTING ID,}# ^^,,~"a8'-O~ <br />INSPECTION DATE `(' ~~I-c6 <br />INSPECTOR'S INITIALS J G`i <br />OBSERVATIONS ^n~ <br />~[G,t;t L f,U~/i (°~ttl~~ v~. M ~DN/JP ~GOI ~10Z~ I~ Gl 0 rSt~i-~P (x~ aQ ~~,U~ <br />'Y-~,l''R~ j ~~ ~~P~1~ltQ ~d~lt~'C~Q ~Gn2 i',~ltK4u~ I,UP~~~j FQAY2t~~ <br />cv~,a~ t91z- ~ ~ ~u luU~ ~~ ~ [~ts-~(u~, 6~~~r, <br />T~cP~e Gl~r <br />T~cp ~-u~,~ I,uf - ' @~ `tom ~~ (~M a~ ~ ~ ~xa~ u~ pa. ®rns~, <br />Tue arc l~~ic~ ~~r~a.~~ U .~~fl,. ' ~ tQ ~ulnu ~naii~ -~s~fit~t ~.laeo~ C~,~~.r <br />hD~ c~C @O~t~,c~i ~ a SEx~I, ~,i -~~~ f~.ci~ln ~u~2Q; ~t~vua.~ ~ ~oo~ ri~ , <br />t ~t c°.tc@ ~ Gt a a~ ~~~~ ~ bah /~ I QptQwc~, <br />~. - ~ <br />~-e-~c~ D~v~kan ~~~,~prnn~~n~l~~~ec~ ru~~i `~ c~r~c.0~o~n a.~o~ '~~ <br />u~~ ~ ~~ ~~c~ia~., ~. F~~g -bR3, <br />I s E Contact Addres`s/ <br />NAME ~Q, ~ ~7 <br />OPERATOR l1~Ct(CQ~,C YL7rv(~~~ ~ KE~(I'~~u~-1-P~-, <br />STREET ° 'D ~ ~t'J7~^a`1~,1 ` //~~,, ~/ /' '1r <br />CITY/STATE/ZIP _C~~A-NDU l: l' 7i ~~ 6~/~7 <br />cc: ^ C6 <br />^ BL <br />^ FS <br />^ HW <br />^ HMWMD (CH) <br />^ SE <br />^ WQCD (CH) <br />^ OTHER <br /> <br />