|
~~
<br />
<br />
<br /> (PAGE 2~
<br />MINE ID +t OR PROSPECTING ID ~: ~I - ~~ - f~ ~~ -
<br />INSPECTION DATE ~ ~lQ r/l~ ~ :~ti5?E,:iOR'S INITIALS (ss~.S
<br />1 _ ~ //, OBSERVAAT:C~NS 7
<br />I ~ Lve~ A qy-n,+~-icy /~u.Zfcc.v~ (tiw ~Re~-c-vrn ~ "~J~i vH.~s.J• ~J ayi q ~y~iyy~ic~M•t-0'
<br />~7L°".e"' Gc^-co.o ~-„~,~Z,-~ Lim.( -~~~~c~e.~up~,-o~..~,~.~¢,~",, ?.~.~.e-,u-E,-..~,o-/~
<br />aAJ~sti. t,trwn c~,.~..,e/~-.~-~4' .A-~-°.-.Lce~ y~,~ ~ 9/ r6 ~- - 8' 3 , ~ ~~+`° cam" o-`. !'l~.~o o~-v~
<br />/3na.%-, cusp ry.~j Q,vo.~c`~~N.~~•ct.,,l~.•~-f~-a'a~'°'~ ~ d~O"~' a-.....~
<br />.~ - w-..:,, a tiP.f G-G-~.L.,
<br />~r.~~~ e ~ T ~ ,
<br />il,-,),,,!-zn,6.u~ee~, ~c~-e~ P~s~ d~- ~7TN`y"`~c~c.P~ ~`° ,'r`°yycr"'l~
<br />~^"`'~ ~j QO~YI~ 6'L`'0'~~''/, ~i,,,~~ u-v+! atia-µ--~.F ~ O7( -1-~[ ds.a,~i ~-L~2fi
<br />Wi"p ~ u•G-f~-Y"n' O'u
<br />~ ~~~~a~
<br />~~.~.,,,~' co,~,,-~i,,uPr-au~- ~' o-...~ n~.-W f ~"ti`.,:~ ~P ,a~~ra~v~
<br />~~-~
<br />I & E Contact Address /~
<br />NAME_ IYJr~ Ib~•-~+-2- ~ C ~0 , D~ U M'~' (Y
<br />i CC: C~ou-P
<br />~y yyr~• g' ~7. U ~ s w~w
<br />OPERATOR~~X rrn C'.c.c.L-~'/~~Yl.~rw+.al~Cni
<br />STREET , 0, O~a-•1G /3/y
<br />CITY/STATE/ZIP /~u~o-Y,,~j'~g' 7'/05/-13~y
<br />5149E
<br />
|