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Affidavit for Import of Materials into 5 Mile Pit <br /> Date or Time Period of Import: <br /> Description of Import Material: <br /> Entity Providing Material to Pit(not the trucking Company): <br /> I hereby certify that the material described above and brought to the 5 Mile Pit site is inert, which <br /> means it is free from any chemicals, toxic substances, acid forming material, or any other material <br /> which would violate the material waste disposal laws of the State of Colorado. <br /> Signature Written Name of Signer <br /> Signer's Position in Company Company <br /> Date: <br /> 5 Mile Pit March 2016 D- 5 <br />