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• (Page 2) • <br />MINE ID # OR PROSPECTING ID #: M -9 ~ - pfl~~i <br />INSPECTION DATE: sI dS I ~ ~. INSPECTOR'S INITIALS: <br />OBSERVATIONS <br />~ G .]~ ~ ~ ~ S l l~ /~ CAE.CD~C}t~ /r `~Q c - O'PC`-1ZR'rl O t~C <br />sI IF o~ s l asl~- ~i-t~ ~~-QposE o~ ~ts~~~~z~ oN Iu~~S ~ ~ <br />\1lSlJ,hu,~( o3St~12.~t/ Sri`. Cr~ovr`t~ ~ k-~-c`12 u~ r`~l_l._S u~ tll~f It~-I h~~ <br />~D;Skcc~-..t {-- -ro -~ ~ ~ ~m t i fj-R-~•11V S~-~• C.-~~t-I oN •}-o -~-In <br />~ \ `~ ~' D u~ N.rS- -Nn C P~rvt 1 1 -t~+PP Lt cn-t-I orb cu m m ~,-f- pt`~2 p~~sR-5 <br />~ ~~ C_.p N C.~.1~1 O'~1 C.1 111.E S 1-1 Pc.~ ~ A is ~ s v r~ e ~O nC LG~S ~-Rt2~ t ~ U <br />~oSS~~t/~ ~~ ~P~c-\-S t~o `~to't(Z wt(1.1,5 Flom -iin~ `~~oPosc'b oPtsSZfl:f~loty <br />tp'~o -ttn e PS-Q-~q- • p <br />Q-C~L~t ~S-Q-1 f~ Cn "~1G ~'1SS~ ~Z-I I O~ lJJ Ls'Q-l-> M 1 SS ~'I~l ~rb`'~.~ 4~ C2G~'~ f~ ~ <br />ifti-T~l D M'~ ~ ~ k I -F-E o j- -t-rn C fi~j' Q U ~ ~ + . <br />~t t; s t ~ , s `~2o p os~ -~ ~ c rt- I ia- pr~-l-t r~ ~ <br />1111 rat ~G o ~~~Ia wc~ ANp ~~`~ <br />~ N !-~ o L Pry N ~-12 ~-vt ~ I o u~ P~ {~~J uMV-f-~ <br />~~ #~Q.~ Hn9 ~ ~ U ts~ e•12 wA-t~~. ~~ -~tne t2c-2~C ~ CAlo~r~a. <br />~`'~ ° ~`~ I -~ ~t,~e o ~ -tom C a~-nm T o~ I ni ~, <br />~, 'iN e fitoo ~ cnusr~ w n-S o e s~ vim. <br />.tTf c~-2~~ R't~~, sYlkLl.ouJ c,~o~ruD LU+~-tom rt-fi o~~.,~1;1-v~G sup-rfteN <br />t.u .p~S I~o~ ~ 6)'1 Q k t ~ y of N-t-~ ~ornC o ~ ~~ w ~.~,5 c~ ct~--t-~ <br />w t X12 t N ~--~ fi~Ti~c~ .F' -~ ttn C ~ L`S~m t I f~2c~- • `1-F €(? u~~R u n 1 ~s~J <br />u ~ l.t r.[ o~ 1-~~? t cs r~+l o n1 ~D I I ~r (~S -th fit- ~ ~ ~: rt csl-L~ fl-°f- ~ ~ fi I m C <br />a t= ~ c ~t sP ~~ t one . 5 o m C o F ~ ~ c ~ 21 crtH-~ onf ~ I -1-c H N~ <br />R-r\4 ~ Q R-2 fi o F -t-vt C P~t2t^n t j ML tom- w R S ri o t_D I N cr w M-C~ ~- fi o 2 <br />P~ `13 f? t rte=- l1 t S ~(.o SS I off w I -~-~ ~ e o ~ tSlt R~to 2 w ~ S r-- ~- ~ R~~) ~ ~, <br />~~ ~t~M('o~R of R-~ZrIS1~'7~ L.v~L,l_S w tTtfl~ -Fvt~ P2o~oSc~ ScZI~oUS. <br />~~ o P~tt~to~ `~~~~,~ ~ coQ~( of 1-v(c, 2~G_~ S-t~~ w~t.LS <br />(N -k-tn ~ S ~i l o N S P2o PoS ~~ Pcb\t D 1~h c D I ~I I S i ors S77~rr ~-~-2 ~ <br />I & E Contact Address ; <br />NAME: ~ ~~~ ( I l._, <br />OPERATOR:'~}~.~_ ~I TE <br />STREET: (~T_~ r U O~ ~ ~ ~ (~ <br />CITY/STATE/ZIP: 7 ~ . `l) ~~"{~- ~~ ~/ ~~ <br />cr. ^ CE J ~ ~ ~~S <br />° Bs L'~Y ~ ~~~~ <br />^ - <br />^ HW <br />^ HMWMD (CH) <br />^ SE ~ <br />^ WQCD (CH) <br />^ OTHER <br />