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1` <br /> <br />(Page 2) <br />MINE ID # OR PROSPECTING ID #: n- 97 - ~/r~ <br />INSPECTION DATE: ,3~ ~~ - ~~ <br />OBSERVATIONS <br />~ ~3 ~ <br />INSPECTOR'S INITIALS:-Y <br />7'~ir ~Krp(~cL•. u•dl w~aGE'C ,w rrfpakfe ~4 <t Grfiy~- Go~c~l6rs~ <br />hY r~~b ~~skf~ f7ecrf . f ls~-~ Pr~~s~ ,//Pt~fl~Q~ ; ~~~ <br />~-~rCe sfir e Srf~~f , t,2c acco~-~/~f" ,...,,1 G,-~- ?~(ce /,.rs~cr~fra-- , <br /> <br />!. rr. ~Xrf f'1`i~f 6~~~e /-~~r~e sfo~e Slsf~.~-f oaf ~c~ /~r~~l'~ <br />fkro~y~- ~u•-or st",q~~ ~ !w rrp~l-~~-L ~~lLs a ~ ~~~cCGc QssP2 <br />Z. ~.e~ C/~~~~e ~l~o!-..e) ~a~P U~r.~.- lcf[v~ 1z.a ~ctff S~l~~~rsf~u~l. <br />3, l~~c~e Stl,~-e Srst~...,s lt.~s ~il~.r,~,~ rKKk„~ ~'~ fr"~I <br />~crnlf ~-~ ~r~~/ ~ Col.~w~~ ~S7• 7Zc~ p~rk.,~s-~~af <br />r. /vt.e op~f~le~Haf yW~ rlLe`- Dgpi'w/6 rH. r~~e~Ya.". a~e2S~ <br />~[ / <br />~,, ~~ ate. ~o e X Gsz vwl ~i~- S rte.'- o -sue e a~~D ~ov/ ~ ~r~~lT~ef <br />,H. ~. ~ rc~a~",d.-,- sr~-~ o ~ /~~~z~/arf'e `e G'r{~K. ~ w~~~/~':... ~ .e <br />ptrc.. ct dream . /7-`ce o,2lY ~clf~/,/-~ ~~ r Imo ~1i~ ~erd1' wlp~f~ ,~ <br />a v2~1c•`e ~ f ra'~Gif~ u-vrf , ~ ?''~/icy cre~ ~ ~ cif !~-e -~-~,~`f~'`~ <br />(oc~~- ~'~ Tri+. e e of ~~ ,/r~Y'rG~ G/~Gfl /~ 1 •~:K ~ vc~~! (y. <br />~e~~f 7~~ ~-e ~~'"~y" " ~' s``~~ ~iw- `' o/o'sf c ~ S ~,~~7~ e <br />I & E Contact Address <br />NAME: cr. ^ CE <br />^ BL <br />OPERATOR: ^ FS <br />^ HW <br />STREET: ^ HMWMD (CH) <br />^ SE <br />^ WQCD {CH) <br />CITY/STATE/ZIP: ^ OTHER <br />