/ /~ IPa4e 2)
<br />MINE ID ~ OR PROSPECTINGC~IyD il~(O- y(D •
<br />INSPECTION DATE 3- ~!- / / INSPECTOR'S INITIALS ~S
<br />OBSERVATIONS
<br />7~ w`t.o .~ c. ~_.. _ D n•i,c-n<-~y~ e~tg.~~ ~ GcC-~'t-~ ~C1N~-~L
<br />a,`.~- ,~/~~/~- ~, G.e~. u,~,._y..a .1-~(.~ ~ ,,may o „-e.~-Q.eQ ,~f~.e ,~~.~-:. ~.
<br />WZ~C~ K^'``v`°-2'¢~ o~ ~-~, e.t-..vyQ~f.py~,~t...~-, a[..[.3-~.- -~I...~-.,, ,~,,,-e~i.~., 4'
<br />./." Gt r ~e.~.-.,,-~: ~ ~-I./~-~~11,~,1b,~,,~\ ~.1.~,~n~'.:.,~J/',a~e.~.~, ,,u~,~Ge/d l;-~ ct,,~~9
<br />W 0. Vnam~.-~x+~m ~ y ~ i (-! 1 i - ~ v !~ P~s.,s' -(' ~( /14-~^~~..-^-v~ 9-*~..t.[' (i-e (P
<br />/ " 0 KI /~ ~n,B l.L ~F-~~-f- . JC 4lc/~.P4~ r1~
<br />1~-O~B~~t5~uc6r~_l ~''~f'/ S~c,l ry,l~s ~,r„(~~'o~s~;~ ~~~e~,; ,~ , U
<br />~l ,.(ra~..~.a_.. Y r.,c~. e,P .ucd¢n..~a.
<br />~/ ~ ~~ C.~
<br />7u~/~-Z-l°-y'~,(~M.,~'~4XL,;,,,a..~a„<•~.,10.,,a1_/~' D;vt5,5=~,).-+~--~L Q:-c-~",.~e~,~~~
<br />~_ `j~p~Ud_, U ~ ~~ T~,_ CG~~' `N d~4~LLG`'(~ ~n~~ ~
<br />(~,U,'LU-~.~.+,~~ ~,,h,.~~tQ `~'{/lVv~--t~xi L~ ~pA- S °;t.~ CL P~-t~ r Sw-~ou...,i~ ~.._..Dd"/ O rn ~nar)
<br />4~c.~Q/~0-~-ts 1/~^/} f/~ JJ~~IiSiD"h~d-..-~~.~ ,~~GG,`cL~vL~~,~y ~.1uw/~{~
<br />Ca.~- mom- D M E
<br />i fi E Contact Addres/s1
<br />NAME L e~ ~.,+-c. ~) a//inn i C
<br />OPERATOR /I/A/Lrl~ U/tf,,o, [/' C~~-n~.`c~+~~
<br />STREfiT ~ ~ y ~~ w ~ ~*+~t~1 /~
<br />CITY/STATE/ZIP A.~ ~ ~t'J~
<br />C~_ ~~ i fl°li: I i~ky, ~t_ ~~ _L ~~
<br />RFTI ICii~i i-2r r' =tom' l?F-( ,i.~E-t~. ~(~p
<br />cc: ^ C6
<br />^ BL
<br />^ FS
<br />^ HW
<br />^ HMWDID !CH)
<br />^ ss
<br />^ WQCD (CH)
<br />^ OTHER
<br />
<br />
|