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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 />BillTimmons III <br />Permittee Company: <br />Ready Mixed Concrete <br />Company <br />Address: <br />14585 Old Brighton Rd <br />Brighton, C080601 <br />Phone Number: <br />(303) 659-0630 <br />Fax Number: <br />(303) 659-7353 <br />Email Address: <br />Bill.timmons@boral.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 />Wermittee, Corporate Officer, Owner. or Documented Designee <br />WAF-O! <br />Date <br />