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1 <br />la <br />Page 3 of 3 <br />Division records indicate the following permittee contact information. If this information is not current, please type <br />or print current contact information: <br />Permittee Contact: <br />Daniel L. Collins <br />Permittee Company: <br />Collins -Morehead, LLC <br />Address: <br />1417 S. Grandview Dr. <br />Tempe, AZ 85281 <br />Phone Number: <br />480-206-2037 <br />Fax Number: <br />Email Address: <br />Dan.collins@asu.edu <br />I, the undersigned, hereby state that the information provided in this report is true and accurate, and that site operations <br />are being conducted in accordance with the Division approved mining and reclamation plans. <br />-, i <br />Signature of Permittee. Corporate Officer, Owner, or Dismingatedagggagg <br />Date <br />