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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: John Strong <br /> Permittee Company: Strong Mining Company <br /> Address: 1505 East I2th Street <br /> Rifle, CO 81650 <br /> Phone Number: (970)625-0777 <br /> Fax Number: (970)625-9152 <br /> Email Address: <br /> r &-5 v� v i � t c, cAA, L <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 DiMa7land reclamation plans. <br /> Signature of Per i ee Corpora Officer,Owner,or Documented Designee DaAe <br /> M-AF-02 <br />