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V~ (Page ~) <br />v~ <br />MINE ID # OR PROSPECTING ID #C[~-~o-o2i/'/ <br />INSPECTION DATE /~ ~7-~~ / Y INSPECTOR'S INITIALS ('~ <br />OBSERVATIONS <br />„~ b~l~ <br />11S ~l o21s G ~.I.~ s M 02113// . GZ ~J('ec:a~..~ -~o u c ~ Gt~rG/n moo- r~'/' ~~ <br />l+Gr~C 9I~o ~I7 eCl'l H h~C'oC G ~r 1 ~,,,~,L ~~ ~~ .,/ wC~ <br />~7 d S ~ / ~~ (.L O[a r.Ja f ~ . /h.Y cr sJ <br />U/O~n /k rP~ / ~v~~ ~) ~ea..-~/ ~D-/pZ dvQrf;ZC_ .~ac~/t-Y /•n Cd•,~<c"~] <br />W .~ ~ 9~MCM J" rSN.L_ ~ ~ ~a~Ll j~'9E~ ~~ .SI~L v~ <br />PJ~ Wittig d-~~N~ , d~ s`~'9~~°~ ~ ~ r:.~~c ~,~k~ CJc•.~,i Stir~~ <br />`~- ~~-;µ~-~~ g~- ~- ~b,~w~e one' fl~~~e~eh~~r~P ~i~-~ !le// <br />~~,~ lI /~~/t'~CE//~ Ovl 41~ G~IJ~h. l~f~~ ~ rC./~~~' ri~v/ OVY.Ti'LL_ <br />/h~r~~; ~ pJor la~lc~X ~c, ~(J,pr/e,~,~ks Cre.,J.o~ S~,°7~7~• <br />R ~ ~//S /~rS ~- Q~ Qf~'f s~ /w~ ~.~• Scr~ qr~- ~eN~° S 0~ <br />7 J ~^1 i7 '~]~ ~Q(k (.J 1 <br />J~ - 34~ ~ oYl ~ MJr W if ~ . ,.,.J/ /'~ tJ Sf / zt7 CO~ <br />~'~iC-~ cSJ~~~ I~Ne~. <br />/g y~ ~,~ .. f~-f ;~~-f d-~nf ~ //~ec~ ~e /~/C~b o~ rw~~/~ww`f s ~- <br />/y~T /f,~J' ' Q ~- ~ e; ,(a n K cX ~t ~G~` ~C..~P4r~" Gn ~J rPh ~o+1T' /~J / J - <br />yl~j~~r~~~ S~rJ2- ~-ar /,/Q~~~~Gcl~le.~T d`~ su,~l ~i~~,- I~rnr1 7l~ S~°~/°''~ <br />R'~JJ~ ~{9`f GfPsi ~ L,J~g.n ///•"'CJ nf~,JJA~(c.e ~' GI'l ~D~IfC,~ /, ~~ j <br />w.' d ~ll~ c~N f sn ~ r~f % r ~~t~ ~~~L l~ <br />~ ~, - w ~ 0-f f~ s~. ~ / I %. ~ ~r~P~,~ /v /ate -~~z~, ,~ cJN~s <br />I & E Contact Address cc: ^ CE <br />^ BL <br />NAME ^ FS <br />^ HW <br />OPERATOR ^ HMWMD (CH) <br />^ SE <br />STREET ^ WQCD (CH) <br />^ OTHER <br />CITY/STATE/ZZP <br />