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i <br />• (Page 2) 2~~ • <br />' MINE ID # OR PROSPECTING ID #: ~- ~`7` OSCf <br />INSPECTION DATE: zi - ~ ~' Q~ INSPECTOR'S INITIALS:~~~c/l/ <br />OBSERVATIONS <br />D7`IO~ ~ t S G /ye-S 1 r~'~o-' J ~ /~3~ G rOf lr l ~ S~~z~f~` t7 2 <br />l,,x~f~ ~ ~/yes w~~-~- ~~ are ter- s~~ce ~/~S. <br />~P ~.~6~ was >ofs~~~l~ ~- ~ ~.~ f ~..~ ,~ ~~ <br />, k f~~~~ , <br />~~ /~E' O/ waf G~.~/1~~"l~~it Ci~ y~all Y'O1r-~~" 9/`~G~f ~ ,.,~./{ <br />7~r.~,~.e ! p ~ ~ir e r vt jp eG/~- /~ w~ l ~"~ wa f e~-~- 1 u 2 <br />Jod s~~~ 1,.~~ ~t ~.af ~ d~,~ uf~ ~t ~~~~ <br />1'>!Pa"l1'S ~c,.~ ~r. ~~~Yf l7ra~~/,~~~ tYO~re~f" ~~ ~~ ~s <br />SO/!/N aF Gf D~ [~Q df//a/vc~ ~~5a D~/e/GO-~^~ S <br />we~~ 7~ui/- y~f~w~ so~Y«~ e~ ~-~ll ~` ~-~ r <br />_ C ~ ``~ <br />~ f~'t~ ~~C~~j- w~ fi,~py/y A/yam/ii2 ~c e /tr~6'"sQf <br />~4-l I`~~L~ ~ ~~ wr rv~-8 coN-1 /iz~~iov~- o~~.~o -~ <br />~ /~ / p <br />a~~irii r[ j eS r~~a~a,~tvC by ~,t/-2 ~ator~O /D'e~.y~,.~~~ /~~ v-~ <br />r'Te~'[!~ ~~v//~~""'~'""'l ft~~L~(/c~Y !~~'!r~"L !~!r/rtl~~-, <br />3o~-G 42- 3Io0 <br />~~ . ~~~~~ <br />ff~ srff~s, <br />I & E Contact Address <br />NAME: <br />OPERATOR: <br />~f ~ st,~-~~ s~ P~,~,t~ ~o~//~ ~~~~ ~ <br />ova-l~l ~yd ~ra~G ~el`~j o ~ !~}~ D ar~~iC-yf <br />cc: ^ CE <br />^ BL <br />^ FS <br />STREET: <br />CITY/STATE/ZIP: <br />^ HW <br />^ HMWMD (CH) <br />^ SE <br />^ WQCD (CH) <br />^ OTHER <br />