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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: Andre Laroche <br /> Permittee Company: Continental Materials <br /> Corpora ion <br /> Address. 444 E. Costilla St. <br /> Colorado Springs, CO 80903 <br /> Phone Number: (719)475-0700 office <br /> (719) 491-0288 cell <br /> Fax Number: <br /> 719 227-2035 <br /> Email Address: Andre_laroche@transitmix.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 Division approved mining and reclamation plans. <br /> 06-20-2016 <br /> Signature of Per a Cor orate Office4wn��—R�kocuniented Designee Date <br /> AI-AF-01 <br />