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Mitchell Sand and Cracel, <br />48580 Hivy 36 - P.O. Box 10, Bennett, CO 80102 <br />303-644-4102 303- 870 -4260 cell <br />A disabled American veteran ommed companN <br />luthorization Forth for Disposal of Water Based Bentonitic Drilling Fluids <br />as required by the Colorado Division of Reclamation 1lining and Safe"- <br />Date: 9/17/2014 <br />Denver Transit Partners _ <br />Name of Drilling Compam. Cit-,. State. Zip (please print) — <br />Sheridan Blvd. & Ralston Rd., Arvada, CO <br />\\ ell I ocati,7n .lob '�it< ot- f )rillut , Flnid ( please print l <br />—_ Neutralized Polymer Drillin Fluid - _ <br />Natne: h p< of Material, °Fluid (please print) <br />Drilling Company guarantees (fiat all material to be disposed of is both non - hazardous <br />and non - harmful to soil and /or crops, etc. pursuant to all applicable Federal and State <br />of Colorado Regulations, including Rule 907 of the Colorado Oil and Gas Conservation <br />Commission. <br />Earth Services & Abatement, Inc. <br />Authorized Drilling Conipam Representatix e ( please print) <br />— -- — Date: _C1 - 1 l` I <br />Atitliorized Drilling C onlpam Representatke >l_Tit :alll'C <br />D & D Water Service, LLC <br />Naine ol'Transport Compan} dispo,ine of abo %e nate6al (pleas print) <br />— A�a�h- /�!4� -�� - <br />l-an:port Uonipam Repre entatiN e (please print I <br />i ran p <br />�rc Pan' Repre�cntati�� ,!!nature <br />Drilling I laid 1)i;POsa1 De,tuiation: Mitchell Sand and (ira% l Pit,,. Bennett, ((! 801_02 <br />T' i. \111`3;'[! 4 <br />