Laserfiche WebLink
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: Randy DiLuzio <br /> Permittee Company: Tezak Heavy Equipment Co.Inc. <br /> Address: 205 Tunnel Dr. <br /> Canon City,CO 81212 <br /> Phone Number: (719)269-1173 <br /> Fax Number: (719)269-1148 <br /> Email Address: Rdiluziooaa tezakheavyequipment.com <br /> I,the undersigned,hereby state that the information provided in this report is true and accurate,and that site operations are <br /> being conducje4 in accordance h ivision approved mining and reclamation plans. <br /> I(L4 ab o1,9 <br /> Signature of Perfnioiee,Cor orate fficer,Owner,or Documented Designee l6ate <br /> M-AF41 <br />