2015-08-12_REPORT - M1998105

• Permit No: M1998105
• IBM Index Class Name: Report
• Doc Date: 8/12/2015
• Doc Name: Annual Fee/Report/Map
• From: Grand Junction Pipe & Supply Co.
• To: DRMS
• Annual Report Year: 2015
• Email Name: SJM
• Media Type: D
• Archive: No

P4,�Sof5
Division records indicate the following permittee contact info=ation. If this information is not current, please type or
print Currew contact information:
Permittee Contact:
Ivan D. Geer
04 • Mu44Mir
Permittee Company:
Grand Junction Pipe dt Supply
P94-
, CA -4m Censs C.or: ni
Address:
556 Struthers Ave.
Grand Junction, CO 81501
Phone Number:
(97 2434604
Fax Number.
[phone]
Email Addreas:
.TbM. Mv�t.��[:�e�.A�rnGrar�s'Te�ra.r�e+4.cv�►+
I, the undersigned, hereby state that the information provided in this report is true and accurate, and that site operations are
bdgg *uct;o in acepOpnce with the Division approved mining and reclamation plans.
f=fiAMAwTA ff RAF WE. =M
W")