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Page 5 of 5 <br />Division records indicate the following permittee contact information. If this information is not current, please type or <br />print current contact information: <br />Permittee Contact: <br />DanP. Conrado <br />Permittee Company: <br />Meeker Sand & Gravel, Inc. <br />Address: <br />3251 RBC #4 <br />P.O. Box 1550 <br />Meeker, CO81641 <br />Phone Number: <br />(9W6)-8"8=596 <br />Fax Number: <br />(970) U8 75 <br />q7o- 7&-s06/ <br />Email Address: <br />Dan@msgreadymix.com <br />I, the undersigned, hereby state that the information provided in this report is true and accurate, and that site operations are <br />being conducted in accordance with the Division approved mining and reclamation plans. <br />'? / -7 <br />or Documented Desiznee Date <br />M -AF -01 <br />