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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: Jon Mueller <br /> Permittee Company: Grand Junction Pipe& Supply Co. <br /> Address: 556 Struthers Ave. <br /> Grand Junction, CO 81501-3826 <br /> Phone Number: (970)243-4604 <br /> Fax Number: (970)243-6703 <br /> Email Address: Jonmueller@elamconstruction.com <br /> I,the undersigned,hereby state that th information provided in this report is true and accurate, and that site operations are <br /> being conducted i accordance with t e ivision approved mining and reclamation plans. <br /> 18/,r1j l z1DVkD <br /> Signa a kPermittee, Cofporat6 Of icer Owner,or Documented Designee Date <br /> M-AF-01 <br />