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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 />SteveFancher <br />J <br />Permittee Company: <br />Loveland Ready Mix Concrete, <br />Inc. <br />Address: <br />P.O. Box 299 <br />Loveland, CO80539-0229 <br />Phone Number: <br />(970) 667-2680 <br />Fax Number: <br />(970) 667-0036 <br />Email <br />1p4jg gi �YMC&D�! .0 Clem <br />UWAA JPM(Wflo. Um <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 accordanpe-wk)i the Didion approved mining and reclamation plans. <br />7 1Z 7 <br />ofPermittee, Corporate Officer, Owner, or Documented Designee Date <br />M -AF -01 <br />