<br />
<br />
<br />' (PAGE 2)
<br />MINE ID # OR PROSPECTING ID #: m- - ~~ - f~ ~ (2 - _ _
<br />INSPECTION DATE ~ L1.3 ~l~ ~ INSPECTOR'S INITIALS
<br />OBSERVATIONS
<br />j 1„b ~~.L.-e-•, w+a ~„~ .-: , ,~-a,~a, uu ~a n c.a,.,-~ /~...~./~ y ~ G/ ~Jl ~
<br />P ~ `•~x-",.'^-~~ ~.-w~~.~.-o~ , T ~'`- o-'~ a ^~`~v~ -~ ® ~a cn-c~ q ~, ~ ~ atiac~. c.Q~ G
<br />W ~"'~/ 1l.ln,,.N,.L~c/ [~ 4 1-O,n.tin Jam, •,-~,. ,Uc.~.~„~~^°-yK--n.r..--^, 6w~ "1.`^Ll. f~~°a~/
<br />H c~va~ ,,,ce,...,;...~z4.; ,( yG- ru-~- d...~w:,.~ r:L~- YtM~tcz4•~ O ^~^v""
<br />.~.c,Taw2~y Hla~ n.e~ Oto-~..~ e~ -~ c.~~,.~.~a~u«,Y ~-,.~.~"~ a.c~
<br />~"./h!^- ~-f ^-~ ~~~ ~ `~-e-a ~ o~.wry-~ ~1. vs~,a. n-~~..~.. /s~ r (.~i,~
<br />U r 9; 6."(,a7 ~n..-G-~-we<) w-~ ~<,..~ it,.a.,_e~,~l 'l ~ H.,,.~<_xa-c .~.~~
<br />Q-~-.~ ,~en„r,~.~.c ,/ (.U..aXln-rn YH~.~I. ~i~./.,~ ~A'/~ -,LAP CLV'a. ~/~t.y(~',N
<br />~'~^' " a-s-«{ ~6' "r~ ~-c-Qe-,-.~-o-., ~qn~.-~wto~^s'~Wb-u.~U /1'-¢~-".U2- Oa~ /10-v-~
<br />i4 - l / P -
<br />/~°~--w,.m, m,u+,~ ~- ~~f.oM,.,f1 ~ ,.1~ ~J,7/i~w-+, ~ .a.~-r,~t
<br />/t,v-o-rQ ~ -l'"-° (.>,"u ; s w-~-, ca-,1-v~~ ~v~' n zu-~-4.w-h
<br />I.u ~ l~ ~~ ~ ~ i l y ~ dpi, n-~vl ~f~ ce ~/i w~ /)1U b ~ ~n ~0 cna
<br />~-e..cr<~a,ca+, ~ ~-Mu.~,~ -Y~o / /~ ~~Ui.U~-a~U G Yet /o-sr 4 7'~3k. ,p ~„ u-...Y
<br />V ~ i~-is~h ~'1 (+'^'1-~,(~„y, ~C~ /IL,Vt-a-~-6"h ~p'r ^-' Y~~^~+s~M, l/ _ 7I .~'{,.S J1-
<br />" a -N,~ ~ ~ Rn ~ ~.,.~ 1.~~ ~-•~j G-~ 4.,o,k.Q 3 0~// % 9.~ o,,, (T~~.L G.a.,-.
<br />'V'vn.~w~-~P a-+~-d' ~l~o 9_ G R s
<br />wia 1ou e.o.* aGG.-`'``~" Q~..l S n_ec
<br />~wQ ./~,~- clay,-u~. iyi,e-~y (~, ,/_ , ,~..v [p `tee c -n I/i D / a j i ~
<br />I & E Contact Address n a C~a^-~ f~o~-~-~~'
<br />NAME /r1~C ~~ ~~ SON~J~// CC'o }~ I Cha/l~
<br />OPERATOR W~~>..,~ r17rt-~~-1.+- /~ry~~^^^~' P u~ i'~oK yy5
<br />v u-~~.°,, CO .
<br />STREET P, n,~~~Y ~f~7 6 /
<br />i ~ c i + ~" SC h .n
<br />CITY/STATE/ZIF' ~,f L~-fn~,.,a L"g ~~ ~~ z~ ~,t,~cl d Co-u--..~- jJ
<br />5149E ti'S io+-~ sad
<br />Gr~~~~ Sec
<br />S
<br />cJ~r)' Ce~..L~l~+a..Q
<br />,~ ~,
<br />~„~.~-,
<br />~~~~`~
<br />ti ., ~-
<br />-~~, ~-.(
<br />.~ ~, ~,~..~, w.
<br />~''~i, -J-~~tiww~_
<br />~-.. o~ny1-.k.~r.,,~1"
<br />un~) ~v.~w 5 u-v~.u.~ 4
<br />-4.pa-vv~-ea C,cf~
<br />3-r(d.a n.a~~'l'~6-en.,.~,U y
<br />-c~rv-cu~v u^- / ~~
<br />c ,e p
<br />`~ 3
<br />F/
<br />o~~l~.yw......7 S ~ ~~ ~ c.-ai
<br />/
<br />
|