Laserfiche WebLink
~ ~-o~ s ~ <br />(Page '#~ <br />MINE ID # OR PROSPECTING ID # M'g 3 -G~( <br />INSPECTION DATE 6/( S~4 `~ INSPECTOR'S INZTIALS~ <br />/~/ c< L/ - ~/ / .~/~ , <br />l ' ~~ ~7r~q/n.~ 8 ~ I [n 2 ~t h.Qf / rn~ Tu.~/ T~-K 5 <br />// / i <br />~'~ (ISL~ dN:~.da.,a-P,.~L Go~.c2S Q~ G-~( ~ir,~ci.r- Marvr-/ate ~•tlf.Q~ S'a^^'~-~- <br />~,LS'/tn,C/7 5 /~zi ~j..2 U~, v/sr o,,/ ~.~ / l R 9 3 - -/11.,¢_. <br />5) ~/ac.¢. /o CL(~5 O~ ~ 07 Tom- rvtoru /Tor vl/e/~5,~ ~ ~ p <br />~~ ~~ EJ~ 7 ~ b-FJ'rv~ 01st '~- C /SST ~i j fL.1z ~cc~.~n /~ ~p <br />~G.k.- l2o v-{L~ a...,eQ. so,.e~fn u~ sGrr.,,,v,-r (/-/v ~t'la3c L1 e~-er- /c~-. <br />71\ ~/ /~ d,`,f_ ,/Q~f v ~^x~ bt (/M /~Q /~/~J i l~~t •'~-4a ,Y'~r <br />~`~- ~w 2u ~ra-s e// C0 ~'1~/ lr. c . /y~•-E CAM,/ /w ~ . o-~^-a- a`- <br />i <br />l /~-~ ~ C/dLix.o-~- S/1-e 4 ~ ~ o~ 7~..-~rj o M 2 ~s ~-~^~ -F~~ ore. <br />~wc fv,a. -ft~,.a~.. neal,LFo,r w~Q~S w~en,e-.zoo s-ze.we.~ . /~ rs ~,..~.c,-a~,. <br />7ha- bc..,.. an.o~,.,.~- ~,,e_ c~-ecf CR-a.Q ~~.,,.-.~ ~. .-ta.o~ f~ 6~ <br />rvve - <br />-TG,rz_ c~l dr ii-e.~-ste,~r ~u-..~ G~ ~- Cas ~ ~...p i s i ~ ~ ~~e <br />~` ~.~t-e <br />TLt¢. l( /S shm~f- a-Y1 u/~c.~ ~ ~t~,~-°-. {z-'t-~- - r.~ (r€~Cv w~or <br />~ ~ '<G-2' g°'^a~~ bFs~z e1 /f ash ~~" a,•--~_ ~..~`es rY1 r ~2. .4~d ~ ~"~`~ 2 <br />/moo ~ce.~{zo,-, _ e~, f~.e. wz~Zr ~o~,~-u- e.- w~~''~^n-y° ~~,q scJ:_u-rG~ ~/MUS'~ <br />~2. S+~.G rwiT,~e~G o-5 0.re.w Stand-^~~^~~ ~ ~ ~r'!~ S~d•, ~ ~ ~s <br />Yhf~ Srov~ /r~~/ate. <br />~~ 7~R- s~e-v~-cc~- /s . eii~o-u.r~gz~ -{~ covt,~.t~~ ~ <br />a,8 so s,z aa- ~ ~ ~ ~ /~ i~/ -{~,o~~ a~_ any ~.tes~m,s aCa~.c~' <br />-~s ~e~ f' p~ cow. e e~ a.e_~zp;1.d- . / (/ \ <br />I ~ E Contact Address <br />NAME <br />OPERATOR <br />STREET <br />CITY/STATE/ZIP <br />CC: ^ CE <br />^ BL <br />^ FS <br />^ HW <br />^ HMWMD (CH) <br />^ SE <br />^ WQCD (CH) <br />^ OTHER <br />