<br />(Page 2).~ •
<br />MINE ZD # OR PROSPECTING ID # ~-TI-~Z7
<br />INSPECTION DATE e~~t ~ ~(~]
<br />INSPECTOR'S INITIALS ~~
<br />OBSERVATIONS
<br />~~ e~diQ U».~ ~fML~u( ~~~~e~tU~ ~ ~n,~. Cdv~~ ~ vt~?) ~7~ B~~a,~i,,G/~i
<br />lNj '~,r (~~, ~.v,,~~n t) ' + fey ~. 'rio exc-a,~, ~ nruwl~.tl~iz("~
<br />~hui.Qi cam, o~eu~n~,,~~@-~tcr c~ cr~ka~i~-w~f~p ~u~ncu (~xt-cw~~u.~.r
<br />Nn , D~ -~.~19~uur 7tt~ta~~, ~,, ~ ~~ ~~aku, c.~.~,o~~+l uv~
<br />~-l~ t D ~ ~' ~e s~ cux~a~c~a.6Qn.
<br />-~ Hn. H~~ r~-~~c~vA~~ cu~~.o~~~~un ~.~~~r~li>2ctc~~io+Q.~~~
<br />w~e~ e~r~a~, ~jvl ~`t&.~,• ~(-oc~~ c>u~,n,~&,d ~ f~ p ' rnaP
<br />~ ~e(~`,~e~ a~ u~uicP~ Gv~ (emu (~c~ ova cr~ G>c,$ ~-d~psol~ ~
<br />~~ce~ . cam. ~ ~~~~~ ~ cam.
<br />~~ ~~
<br />-1G~ ~:t''to~-`w~ P~~~-~ 1,u,1~~~, c~~ee~~r ~tG,~ ~ c~au~.P1~~v X44 ~ae~r
<br />QA~(,~e~~~, A,dKr~tt%t 1u1~~.
<br />r~ , 7~~. c~, ft~weu¢r, a~u~,~ q,~u. bP,lnC~,~l~~, G-G,, K~y~
<br />IM~,~u~~ hPwM;l~$ ;tiu.~l, ~c~ cl~~~ ~%!~ lU~ ~ Q, °~P (19~,~r
<br />~. `~%- rte, ~~ ~ ~ ~~~ ~~~ Gard cc~7~
<br />~~4~~~~ :~ wlr~~ ov ~~ ~~ ~ ~~~~ ~~~ Gn~iiu
<br />1G1?~?~n.~~ .
<br />Va~~O%Q(~c~ ux~ ?c~~~ ~~ ~iwi~~r ~.c~~CauR~-ec 7Zc~rn~,r ,
<br />-f~~iae ~oc~ ~ n~~~~GP-+~, ~~ cu¢~Q u~'e - io)I~~.Q ~~~~ ~j,12~u
<br />-- ~ti~ , ~vl~ Qp~l'~ ~' ~u~%v~~ t~ ~e~.c,~.a~~a'n"~v~-u~."ley Gx~-
<br />tG.Q ~ vltl (~Q" PBS ~FUL l~0 'c~flYl/s"~/~: ~(n ~~j~ C~~yOL~ BBB``, ~ l.~i Glil e""~"A"yf1~~~ ~ (~,~.~~''(~
<br />I 6 E Con c Addre s ~ `'V Y ~G~ ~ "'~ """ G~[t.~ ~~ ~1w~i4llA ~ .- "~e.~' ~ ~ ~ mil'
<br />cc: ^ CE
<br />NAME FIRn,~ TEt~~pKad-S IA) ~ SYLU~,7~Q ^ BL
<br />OPERATOA C~LDR}EL~ /~~7ti~ ~ ^ FS
<br />n ~, r ^ HW
<br />STREET ~"~'~ ~-ii'A)~ ^ SH~lID (CH)
<br />^ wQCD (CH)
<br />CITY/STATE/Z)IP ~....KD~~ ~ $110! ^ OTHER
<br />~,-~ --zr '~ 5~(n y ~ d
<br />rit fURI~ RFC~IP I RFnI )FCrGn~
<br />
|