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1A1 6i 0°1 <br />Page Sof S <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 />Joseph, (Joby) B. Venuti <br />Permittee Company: <br />Ace West Trucking, Inc. <br />Address: <br />P O Box 117 <br />Rangely, CO 81648 <br />1869 N. 14.1, 4. pr. <br />O&M i Vi 8AZG5 <br />Phone Number: <br />(970) 675-2753 <br />435 - 63Z - 5629 <br />Fax Number: <br />(970) 675-2702 <br />*ft t. �, C.vert.4 41 rnL <br />Email Address: <br />Joby@acewesttrucking.com <br />-aI <br />tel► e. rk.k06►11• CoN1 <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 ' 'rdan vtv • 'th the Division approved mining and reclamation plans. <br />gerhicIpti & -44017v. 11-u- /1 <br />r Owner, or Documented Designee Date <br />RECEIVED <br />NOV 23201� <br />Division of Reclamation, <br />Mining & Safety <br />