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Brannan Sand and Gravel Company, L.L.C. <br /> October 24, 2014 <br /> Page 3 of 3 <br /> Failure to submit the unsuspended portion of the civil penalty by the date specified in the Board Order <br /> will result in immediate submittal of those penalties to State collections. <br /> Operator(s) Signature: <br /> By signing this, the Operator agrees to the stated violation and will comply with the Corrective <br /> Action(s) and Civil Penalty outlined above on the Staff Summary Form for Consent Agenda <br /> Items. <br /> . la 2g <br /> Operator Sig ature Date Notary Public <br /> My Commission expires: ID • Ito• l 1n <br /> JOHNIE ABAD <br /> NOTARY PUBLIC <br /> STATE OF COLORADO <br /> NOTARY ID 20084020977 <br /> MY COMMISSION EXPIRES JUNE 16,2016 <br />