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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 />AndreLaroche <br />Permit Specialist, Transit Mix Concrete Co. <br />Permittee Company: <br />Continental Materials <br />Corporation <br />Address: <br />444 E. Costilla St. <br />Colorado Springs, C080803 <br />Phone Number: <br />(719)475-0700(office) <br />719-491-0288 (cell) <br />Fax Number: <br />(719) 475-0226 <br />Email Address: <br />andre_laroche@transitmix.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 />Signature ofPermittee, Corporate Officer; Owner, or Documented Designee <br />09-21-2015 <br />Date <br />