1 r • •
<br />//~~~~ (PGAGE 7~
<br />MINE ID # OR PROSPECTING/ID #: -~l ~~~ ild
<br />INSPECTION DATE I.~/~y(Y?J INSPECTOR'S INITIALS 'L~
<br />~^(~ ~ / /OBSERVATIONS /-
<br />I ~S iwsga~aw ww5 co~~ 6~ ~ ~7~~~s~Dti, ~p Vr'--~vo.( ~ ~ e •>ri
<br />p 11 y~- /~ f/( V K,~ ,gyp,
<br />vJ/U,~wtLi$ ,,,c.~~tlJ,~~aC~/~~ ~ -Gpfi appv ~jt+/~yU//tl,l. 'i `~- GN.P~Ov~ ~f i~Z...59~i'" ~7 ya~r~,~,~1
<br />n~ll~- ~~OY~ 61~uFi ~o:.~t"~~i u.(nn/j` 1 ~~41>C ~L..4P~~w( '..~-.ol. ~J Ir/'I ~VEC.~ 1~
<br />' 7 (,
<br />~ji1h c~ w~l9,pw_~ W~v-v ~rrs,c•,~, ~5 C~_~~~ per,-.~.rT~ a..va~ k,c~i~
<br />tn.p ecl/Vpi^^.r^^-C o„- Str/~~'r~. o~ sk'ei ~,,ilur
<br />c>.~~t{p,r~.r~ .,N ~_ ~/Jt.e~d~ LlJ~w Ow -f'L~•2- W~S•(- SJCdfi, 4l.~wG lwd,-v
<br />Z-~'s-1ls~,l S'iDc~c: •~~y; l T `°'~ l p 1JB
<br />o~ P' ~'~~" t~ ~ l0 ~ ~ ~ao~' ~ ido~ X i00 ~ ~ ~-
<br />p~~~ ~.•~.o~ t5 ~~-;.~t,~ 'vSt h-~ow ~ ~Vevic,~ir~ GT ~~'^Sj~O~4~ _ SoN,
<br />•~S ~~~ Sa~.r,.pu~.• ~u.~-~c ~ ~¢r /DON.~/ ~r YO~a P~T~pc~~~w, /l~tf.~p'~ 1S
<br />Y~v~"v~ v~f ~lle~ex~i,~,rc~e,~. , ~Ge~ v~bv~ ~S S'~d~~'~lP~[.. Ot~iC~ p~+ '[~ -t-NR..
<br />ga~„ ir< ~{'~ CXh,af a..-vim.. is sw..rvtlrir iK. ~;~ u,,,,,cPi wY-I ~,2~1~ Iw~.,RS~.
<br />J ~ 1
<br />.f}G~(JY/~1.1~~,~/y~ l,J"~."-'hP ~trS~ (acv s,w(/v~. 'pt lQ- 0•~ SU~~ ~...,.GCi Wig>TP~dC~C+
<br />IV ~ ~lW~. ~~1 ! y~Lu1C/`+ ~i11V~2 {~ V5~- ~r ~c.~~wf~~tlN i~/'~~G~P~S+
<br />Pvoc,ess;.,,el .~,~.p ~s ,,.~.~:,,. ~ ~.,G,1,in,~~ ~ "d!.:{p-~-~~~,n~ ~ o,-,, -('(~,~ y ~ 1.,,.,..~ 1 w~,dc
<br />ch i" L~Ci orLG ~ w+'~. 5/v`~a..Ue../ cwt" 1'~,.,'r^a'0 ~ , ~ •~ . ~-~'E i S a, j w~.~vl,
<br />~~~ ~u hb(, wt~i'1~+~ Bar'~¢~. rX1~w ~I~ lv -p~i.t.P~ 5c~~ o~ lp"~
<br />p ~~-5 , opk t" ~ '~L „ti..a~ ~,.U~ . P(o h cQ 5 a~w„f T~ !~ ~ 2d~,•w~e~-- 4..•.K,
<br />6Yil~~~~F (.v~w+~ ~•w ~;li ;u~5 ~i.n1~ ~ ~~~; ,ec~~~ ~vn:w ~a/...w~
<br />er-rem- ~ros;i~ 5 w~j~~.~iC~--~ ~e/L -~ ~,..,~V,~ ~, ~¢;s~~,~..,.,.z,
<br />I g E CoffAAn',tact Address ( / /
<br />NAME CYt~ ~13r1~ TGir'~C CCU J~w~. '7~P-.^~S /-P~~r
<br />OPERATOR Goiorual~cr ~~AJ~cI/iGS ~wt- -- jj
<br />croccr 7 ~p f lb {`A !7~"•
<br />l'Z~'L
<br />CITY/STATEIZIP ~~'^"b'^ ~ ~
<br />5~49F
<br />
|