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• (Page 2) <br />MINE ID # OR PROSPECTING ID #: l''l -~~ - IrI~7 <br />INSPECTION DATE: 3 - ~ ~ - ~O INSPECTOR'S INITIALS: ~ D <br />OBSERVATIONS <br />C~ rb P t-2- T'Q~D A-tu G A; S P e. r/4--c~N G t~ YW~r ~ 5 r• i e /~-5 /~/aR~` o /` A- t1 / A,te~ <br />L ~-~r~ 2e Ct.~ Mrs-YZ~I /30~. b t7 l /Z~.err ~e 7~b ~ ~c75 P2 e~- e.cre rt Y Hln1~ <br />l ~ 7"G•t-2 5g~4-~. A-~7' ~e~4ST O.ITCe eJe2Y' lz~~-t2 ~l'~gRS, <br />~T'lft5 l S ~ ~,3 ~c~-e, LGwc~ reo ! NcP~~ p2.2r-cc~- LJCS2-gip ~3~~' <br />~,.(~ n-t c~t.e.. 5 5 m' c,e.. ~ ~. a !~ cq-S ~aJ < f--/,4-~ <br />-~'(.{~ csPR,r2u~,--i'otQ. F1~~i-5 /1ec'~ exc/#tJi~-r~7+UG 54~DA~~ G2f}UeL~RcsrL/ <br />•~l4e. U.~'z~`t' (..s74~C-(.S s~ Jco-Fn~avY /~/~/4a.1~1-~ G`,~Zert.lL} A-/S~ve YG-f~ <br />~,.~.esal•c 3e.4, <br />-~ S e Te r S A-c.`t c (tee . <br />~ /-1l A3 ~ ~ b S G ~ ns 6 5 ! t~SS 774-LL.¢~~ ~4 i ~l~ ~ i ~-A~~-e ~' -l-'f~. <br />~e~2~i~1 ~ Fi-~~4-. <br />~ pe•r~rct,r /~~a•r'~cq-RY ~"(<}R/CeR.S CScn~-c~~ R2Q' rfCSS/0,16 e2 <br />[,d- /q-Je ~-~v K No~il<ep a,~2 , -t'[~-e ~ P e~24-~crt cu-[c.~ /3-e ~e Q u c axD <br />1~4 D [~Sb' i agS.~2tre. iq-r,rY a7'I~TG pR,a~ c.e~res q-T 'fie 51~e, <br />CERTIFIED MAIL. NO. 8,~ ~~~ <br />RETURN RECEIPT QUESTED <br />I & E Contact Address <br />NAME:_ l/ 1 R2.e.~~ /~ LL ~ I~,~A-~C,T `l'~l~ <br />OPERATOR: nC~Ps.~T ~ol.t~TY <br />STREET: f i, ~, /c78~( 3 Sb <br />CITY/STATERIP: L!~}-S ~-[t3r l~/,Q-/a ~j g ~ p .~~' <br />..lA-r-/ e s S-t-etletir 5 <br />cc: ^ CE <br />^ 8L <br />^ FS <br />^ HW <br />^ HMWMD (CH) <br />^ SE <br />^ WQCD (CH) <br />^ OTHER <br />