Laserfiche WebLink
G <br />' (Page 2) <br />MINE ID # OR PROSPECTING ID #nM' I'~O' O~ ~'~ <br />INSPECTION DATE ~ ~ - ~ - '1 'T INSPECTOR'S INITIALS~~, <br />~, ~ _^^r~U.e"~' ~ d,ti,,~-~ ,G.~n ~.v~n~-mac.-{~.s~n ~ -y-+~ P hutit _l. -Q.~.uc.Pn <br />ern /,~ c`~ ~-~ ~ ~ <br />` ° -(1.&~n/~ -1'~- S eu1,~Ll J~Q- ~.6-~u.-4~-~1 ~l~D 3 a ~ 1 ro ~ -1'. ~ o A+~1 <br />o .,~ ~ ~e. ~~n ,~ 3 a- a r <br />~ -~~ <br />~ ram ~ (iµ -Y~e.,~,~ ~~ ~ p~~ ca~,~..e~-(~,t <br />~1 ^~~ ~~ A ~~., ~ <br />~~ -tom -~~nt 18.-~~. ~`~ °l~-~ t`' ~ <br />Z & E Contact Address <br />NAME <br />OPERATOR <br />STREET <br />CITY/STATE/ZIP <br />cc: ^ CE <br />^ BL <br />^ FS <br />^ HW <br />^ HMWMD (CH) <br />^ SE <br />^ WQCD (CH) <br />^ OTHER <br />