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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: <br />Rick Hurworth <br />Permittee Company: <br />Delhur Industries, Inc. <br />Address: <br />2443 West Hwy. 176 <br />Andrews, TX 79714 <br />Phone Number: <br />(432) 897-4301 <br />Fax Number: <br />(432) 360-4273 <br />Email Address: <br />,bwe%i7 0 de/ha.- Corn <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 of Permittee, Corporate Officer, Owner, or Documented Designee Date <br />M -AF -01 <br />HEAVY CONSTRUCTION • CRUSHING • RECLAMATION <br />Caroline Bailey <br />Senior Assistant <br />2443 West Hwy 176 <br />Andrews, TX 79714 <br />Cell: (360) 775-5997 <br />Office. (432) 897-4301 <br />.1111111.1101111111, <br />Email. cbailey@delhur.com <br />