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~ (Page 21 <br />MINE ID #'OR PROSPECTING ID # M- R(1-~~F ~} <br />INSPECTION DATE Q ~ 11 I g L.. INSPECTOR'S INITIALS_~~ <br />OBSERVATIONS <br />~f` .Una-~,9~n (.b~v~(~.~ll.L-'F~ 0. ~.9c.lM6t c.~.Ja~.c~, fJ.ln~G aM/3~~K--}~'9-vt cJ~ i "mil <br />.AnstC~ 9^/~ ~~ ~\ ~ 4 6. Q <br />'~i~~..t ~n~~ ~,,~ ,v,~„~e,~-l~.e,,,, „soy nn R~ l.o~~. ~-~'`~`-". ~ Cc.~ ~1c,- <br />C~~-~rcann~w`c~ ~"^~^'`c~~~ Kuvl+c~:SJ <br />~ _ o <br />~a = ` ~ ~ I (4' 84 C.a~d,,~,c_ 1 d~1 a-, PN . -t ~o'f <br />u~ .eQQ ~# c.(~m ~l - 3 p 6.~-~Q4" ~ u.~e9S~ ~~-{~~, s~.,+w~~ a ~ '~ ~k~ <br />Oa d.v+d v4NCCl;,= . (, c,rv~..C-k•~rt-~k~. I ~.9~ I ~ I o ~ 3 G ~F{ ~ ~06 <br />`~ ~-~k ~ c m ~ - a. -1 I ~~c~~- w~eQSZ, dx.~--~n ~(j u~ ~e.Q.Q -l 1.~,, J s 1~.~ <br />a c ~~~ ~~ -1 ~`~ o, I I s- 9 L, c w~a,,~.x~-w.,~. <br />3 { ~ ~ Oa I , a . -1rv~.o wed ~,0.~. Av~,rn,o <br />`~ ~ci,v~,.a,a..ann ~~ @ aA + • -~c.CJa'~dnn~9a }v vVl ~' tf®.ndq <br />w ~ ti( p ~ `.u~~ -~n~.o so..,,~.-~ e.).~ -~;, A-F~-~-fi ~+c..c..o~.w,.c.s~ <br />I 6 E Contact Address cc: ^ C6 ~J O.Mti1,0 ~,r~ <br />~~Q~ ~~ ^ BL <br />NAME I-1 I' ~`.J ~~-r'B.J1 ^ FS <br />^ HW <br />OPERATOR ~ ~ ~ ~T ^ HMWNID (CH) <br />,^ ^ SE <br />STREET ~ ` 1Vr ' ~-'7OT~~ ~ Q/~ ~ (~ Q ^ WQCD (CH) <br />CITY/STATE/ZIP V. I_ C .I V ~ lv~ 1') C~ U6 Z~ ^ OTHER <br />