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~'/ p (Page 2) ~~ <br />MINE ID # OR PROSPECTING ID # M - O~-0 8.S <br />INSPECTION DATE g- 3D - 9S INSPECTOR'S INITIALS~y~ <br />~/~- joi'7l r..~~ .S 4 c/ ~ ~~ c c7 ~7+C ~ ~.t~C o~ //~- / r/ ~ eC~b vC . ~ ~~ ~-~7Ec~/cI' <br />/ / - L G~ ~jt d a/ ~'Or~wS <br />GJ4S r,.~or/~-~ ~+p ~~~ ~ ~u~4G~iy ~16r/C4 S <br />tee, L o 6 fe/U `mil Qa..~ ~ .S,y !t r-.141' 1, ~ // ~L U ,~ <br />Co ? S; S7~J o ~ 614,rf, a /U a~ w eJ/ - S'OG. T~1P~'S/¢l~ ~ ~P,~G~i~9 <br />,/ .~r~~,~ ~„.~ a ~~ ~w~ l/~~ <br />bas4f~ c~iK~ ~ ~~~ ~- <br />- ~ Soy ~~ i:I S~~Kj°i(~ aGo~ ~ ~ar~ieiv~ 2k~t ~ <br />- /l~a~'.cq ~Dio~-ee~.I T''a.~ /2o~TJ~ lv (~~/" ' <br />A`h ~~[f /~ Tejo Flo/~Q/ ~O/s/c~e~ ~Ar~C fc' /~ec-~~/ ~/~ vG~ ~14/~ah <br />,L ~-~ / 4 /'~ e~ ~--' .~"l i of ' Lo n_/.T.'~f a~r'~'~ Tt`~ ///7 i w 7b~ fu ~ ~ / - o <br />ci~ ~ /(~J`/Sr 2/ ``~- ~l~iiha / /~~ /cw J' .6ea.~. 4 ccd .~.~~,~ ~"' \ <br />i'~O~e.fsrv~y . <br /> <br />I & E Contact Address <br />cc: ^ Cfi <br />^ BL <br />^ FS <br />^ HW <br />^ HMWMD (CH) <br />^ SE <br />^ WQCD (CH) <br />O OTH/ER ~ <br />C'4r> ~ua/ , /~ ~G . <br />STREET ~ D. 13U X ~^Y' 9 p,, <br />CITY/STATE/ZIP i+UV~~IiM-G1~ [AJ 0"s3~ <br />