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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 print <br /> current contact information: <br /> Permittee Contact: 13i�on& <br /> Tom Turnipseed <br /> Permittee Company: Ready Mixed Concrete <br /> Company <br /> Address: 14585 Old Brighton Rd <br /> • <br /> Brighton,CO 80601 <br /> Phone Number: (3033-6-59-8630 <br /> 1-405-609-7040 <br /> Fax Number: (303)659-0630 <br /> Email Address: Tom.Turnipseed@boral.com <br /> 1,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 Div' '. approved mining and reclamation plans. <br /> /Z/ite <br /> Signatur of Permi • Cor orat• !fficer Owner,or Documented Designee Date <br /> M-AF-01 <br />