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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: Rudy Torres <br /> Permittee Company: Riverside Aggregates,LLC <br /> Address: 1750 County Road HH <br /> Lamar, CO 81052 <br /> Phone Number: (719)336-7361 <br /> Fax Number: <br /> Email Address: Jrudeinc@cminet.net <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 cco ance with the Divisi approved mining and reclamation plans. <br /> Signs r of rernhittee,CoriDorate Officer,Owner,or Docume ted Desi ee Date <br /> M-AF-04 <br />