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• (Page 2) <br />MINE ID # OR PROSPECT/I/NG ID # ~ ` 1 j OoZ~ I <br />INSPECTION DATE I F- ~ g '~ ~ INSPECTOR'S INITIALS ~1 <br />OBSERVATIONS <br />Goo-tP~eTeb /4 PRaTrA ~ luSPeeTtatil E+F T't+rs oPe2~-`7'iarl !+5 PHRY or= .4 <br />1-11+~¢b C.r4lJD Rr2C:.r4rss>-rroi.) /3cgR~ DfRe~TLve j o i~3~PeC.T qL~. l~tlu2 <br />s+"r*25 I-.i THe S~ ~+~E eveR~j f=0+-r.2 Y¢R-25, <br />Ti+rs r5 A' q.5 i1-cae. Lir-rr7~eiD rr/Ak~.T Pear-rci ~oeln~~retS A-4o~T 3rr~r_e5 <br />SBU.Tb1 a~ ~J~rltloi./+`r' bn7 Hr6H+~-`~Y 4. <br />Ct-~RR¢rJTC,`~~ /43er-L.T ro 1+C22S i-lq~e E3¢.e~7 br5^l'G,213¢.D. T!{Q oP~22~4Yb2 <br />IS exC•~aTA`Tt/~t6, CR.~.i,$Lfrr•~v~ SC`..'2eCNlrJ6 f}rl~ SYCCxR;uNI; '`'r<F7e2r~+-- <br />:-rtn7L/JG i 1 PRtlo fLe55:IJto i^a.ot-t SO NTH 'l'o ntb2`7'H. <br />A h r N e T ~ S 16n3 rip s Q e,c.N ~ ~5 ~ /tL rre ~ ~T Tl+ e. e.iJTi¢sFnJt+p, O lr )rtfe Pr7, <br />PeaMG`r' Litrkr`>IJ~421e5 /~RQ K~FRK¢-:? ti.=L't-r+ s7'¢eL O¢-l3i}R RnsD SHq-LL <br />l3t>u ~ qe /L.S . <br />l~ t ~J r..3o'7' d (iSe2.~e..4nry' P Ro[i c.2r-1 5, <br />V 1 r"'f s'!'~ 1J2.~35 <br />I 6 s Contact Address cc: ^ CE <br />^ BL <br />NAME ~G'~N ala.n ~tc22 ^ FS <br />~~77..~~ ^ HW <br />OPERATOR nP>~RIt ~-c~uNTY ^ }RQWI~ID lCH) <br />STREET P.O. ~ tnc X4'7 ^ WQCD (CH) <br />~s ~T ^ OTHER <br />CITY/STATE/ZIP I-/4-/ ~ V~LJ4 r['~~a . a ~~4b <br />