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JJs <br />+~~ (Page R ) <br />MINE ID # OR PROSPECTING I• ~r,-Q ~ -~~ y <br />INSPECTION DATE /~ //"f- /~j 97 <br />/~ <br />• <br />INSPECTOR'S INITIALS ~J <br />~/~aC 9~0~ c/, ~T{~- T~~/- 7~~ v`~ ~ UnA'~~/~o~pi%~ ~sn ~~ 7~i-~ Cvw <br />GJ4f D~J.$~C'lu~i'l GLOi~ 7T+,:U Q~`~~4~'"~ ~ • ~7~Qi /O~S~JU'.;//L.+I 4/'~-rG ; <br />/ / rL~+i~ ~ot<vt ,~S QP6~,6~2 ~iiawC U~ .S•a/H.C-(~Y4/l-L COVV v ' `l <br />-h~ s 6 ~ ~Olq~~ / J / ~' <br />- /K-//'' l~4ko~~ C/r~.J ;",Tylc~/ v~3'~tufs~ /~rs~~g ~i ~{'/1`O Sitt.~~l `~~ <br />I0 4'jur~/;,1L{ S ecrw ~1 ~I OC S DUG- ~~ uz,cv/~ /Su r ~ ~ ire e1~ , ~.-//--~ <br />Yf (9/CL ~!O( ~/W4,,S~/ Cr~~ O ,~/ C~~O~^)/ /U/J,/ ~/DNl- ~ GJ ~/Q~ o~/ <br />~L/1 //~ ~ ~.S7i ~hiJ rGt'l 7~C ~L/ L//'~/ T`'~ ~1~ ~ ~4H~/l ' <br />- / 1C2Jw~,e1~~ ~vZ .:r 41 O~Sey~ OIG~,~ 7k- ~rt~/ S~"9G ~~ <br />jn~u~~4I1~~~. ~Jr~ Trinni,*c ~ ~~- ~/~ee%~ ~ ~vr,(T/y~, d~/ ~9f <br />CGi ~~~~ ~-~'~~ -}~ , e'ZaM ~ /~ i..` T~ `T"mil o~.C/ ~~~ p ~tnn ~L <br />~/ ~ ~+ ~ / a <br />p~p~e-fL ~,t,( lv~~s~''~"0.1 a`J ie2dML/afJ ~' ~/ L' °Z, ~ 3 Grp ~ y ~~y• <br />- ~ ConJ~iar ~-Ja.f ~O~~c.~ G~GrvJ'J ~7~y1'-~4~ G, . <br />N~7Ci '~OA~ ~D Gi q~l J•wJ /~ -fD Cp LOC <br />olkc- ~<~/L- ~vo~~~ccdro(;~p 7O Jv~a, <br />as ~~ C1,~,~/~ ~~' <br />t~al `rJr~+.2p~ 7 ~i~i..yGn- O~(.NS ~'T~ I~ ~~ /"-- ~~, '~-/`~ /~'/~C/'.~//~/!/ / <br />(,~QfL ~~,~Iw 7j ~ pal ~~IhNV1 ~ /~WI~•C ~~~~/' ~ S/y~Vh ,r /../Q..~~ <br />~~,-~. ~ ~ Qs a- si) 5~, s 3 sy, 5 ~ s-~ ~..~ a-s~. <br />I & E Contact Address <br />NAME <br />OPERATOR <br />STREET <br />CZTY/STATE/ZIP <br />cc: ^ CE <br />^ BL <br />^ FS <br />^ HW <br />^ HMWMD (CH) <br />^ SE <br />^ WQCD (CH) <br />^ OTHER <br />