|
• (Page 2)`~~ ~ •
<br />MINE ID # OR PROSPECTING ID # ,//Y~-7`~'08I~ 11 /',
<br />INSPECTION DATE CC~ ~/LIT INSPECTOR'S INITIALS
<br />OBSERVATIONS
<br />S Gti ~;h,rh~v' C~ rX~: v. C~1/Yldiu-r-a.cd ~'Q ~'- "^A~z .
<br />.,{-C n ~ l ~ ~ 5(ryy~ ~+2-/4'M/ ,,/ ~ 'Yl"~/Y S !L+•r~'~~K : n4+w~ C.~p~C ~]
<br />r (~^" ~.t~r ~ ~S'/1 ~r~ rL~'L- ,~ (//~'lIW r~i"1'9~' ,/.~r~j' /' r ~ /, ~ C'w~.~/
<br />~~j w,~+~y~{ ~~h.tt`~- ~'Z1ivWr/~~/!' ~1.t ~nU p~c h'ir^k ~-d-['.
<br />(.u.~c ~s~<-.~ /7^~^ ~IZ.x, C?c,[Jf/2Y~ O/yYU1~/J'l%' ~lyy-~^~•L"`~°7y7~ /C^^^-a~[!'
<br />r.¢.,vcrz~: '-D-1VL(~y lcrc'~.c.G~ /7lL.er~ '~, Lzt_ / c,~ ..Q c Y /tee
<br />i"/lb~ rC /~~C~o iK_.. l~- C`~lA-v.4/L, ~(~`/,~,p-,^' /~'[cnc~i. q ~ p.
<br />r-Q ~.(7 `c.-, /J~ an•l p~,A~- ~ /V( T~o`^JSt//- /"' "~/ /"~'-~-+-~9- %~!/ 91L...2_ (~3-~ /rl.~~~.i~-,~, i
<br />9 / / /'t /r s.r.+c / dRrYnXm6~Yr1.C~ (/a~~~
<br />~D f~- ~iv1 s~ / cw.;~ ~LV~ CGen-/z A^-Q-~ ~2 ~r,~~ ~~C~ ~~-Co~
<br />~-K ~~e~l /l,.~t~ ~ ~ S w~.~ ///+~-ice, ~ ~j 4 u~w4' ~a.~c+u,u-s'~q .
<br />~~99 `.cam Ck.n' ~~L-C_ ~ Q..~^ .~,~A-- /L~-r ./~ ?~/•~-~,/L-,-.~ ~~~'l.~
<br />Q-ay~C~...fT / y _ ~ .~ =JCQ..-+•w~„2~ Mrx ~ n~ <~ criv ~ ~t-f S ~ ~.
<br />(~.(.llv,..~.,.~Z ~v~C~ /] Y'S"r.~c~ /J .~.,.. r6Cf:L~c..~~4C-~r-Gn-• ~°~/ r L,Sj ~c,,~ ,S--~y~,p GWP s f
<br />GL •l/. ~JC,v~G~' f~"'^''t/pXVlr~-/ ~~lG• _ c / ~~M.C~/ Fc~,~_
<br />Gu<' SZ~ vrs+-2.L E~it~ Sl -~ ~ 1.51f ~ ~ y , •~ ~ yr S-rs~,~ ~e,rrm~
<br />6~,,t( ~e~.oQ -f° ~..z-- ~a!,r~ s2 lQ -~ rM1~,C..-..//~~ ~`l l_.,w,,r s/o7o,,.i' L
<br />,,~<r L~ ~ vvV7- ~G -~ X Ccv/ tN-- ~ ~ "~C /('wY ~ ~L"e~
<br />~~~~ ~
<br />~V=- l~,r,sc~r, Q.ca~~.K ~- rPcf~w~.yr/~an- ~.~s
<br />` ,,~~~-/([~~,,~,, ~~,~-- c./1ks~4- G,-y~rr S~v~ ~ % ~.r ; es ;J-T~iA-¢" ~l„~. t~',u~v..f v~
<br />~WD ~, ~ [ /
<br />~J /' ~ ~-~f- , '~1.1' s Cra~~ lc.•,,,/J.E. -n.[t.~- 5-Y7Y , ~7 -~L tr ~7l~RiLe--
<br />~~Arc,E,('q-, r~ ~~J.C. L~Q'+-~ /2/~ '/rre~c~GEI,~' ~l ~ ~1v.1 ~f;w~ l~c.,~
<br />,',~//7 /t L[w~c~ Jl,~/,~71/1fLt ^~I ~6p'//*ygLc-ih rnC.LL~cc.C 1- '-QC C. r~ ~ n.-~~-
<br />CK 5 0 3V~ C~/i•\CX ^'T ~ ll/Y- Y1' l1. •l.
<br />
<br />I ~ E Contact Ad[d~ress 1 y~ ~
<br />NAME IVIr. MGJ_11C~~/`! p/~S 0.,/~7
<br />OPERATOR ~--``10, ~"'~ /l~'~t"S~ L~8
<br />STREET l7 gC'L ~L~. C-F/f~1 n cc. ^
<br />^
<br />^
<br />^ BL r ~ ~~v Lvr..,C ~i,
<br />FS ~3ao C/~ ~'-~`
<br />HHMWMD (CH)'~4'~'•Ltr~000~~
<br />SE 00'L 2y X1530
<br />/
<br />CITY/STATE/ZIP ~ ~ ~
<br />gC1~03 ^ OTHER
<br />
|