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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: Brian Barton <br /> Permittee Company: DUMB AND DUMBER <br /> TRUCKING,LLC <br /> Address: 16653 Hwy. 14 <br /> Sterling,CO 80751 <br /> Phone Number: (970)520-3392 <br /> Fax Number: V <br /> Email Address: �O d /' /� oq <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' cordance with 'vision approved mining and reclamation plans. <br /> N—AL <br /> Signatu#of PiriktteW,Cor ate Officer,Owner.or Documented Designee Date <br /> WAF-01 <br />