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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: Arturo Vasquez <br /> Permittee Company: O&A Stone LLC <br /> Address: P.O. Box 2526 <br /> Longmont,CO 8050/2 ga S�Z <br /> Phone Number: (303)775-0201 <br /> Fax Number: <br /> Email Address: Oandastone@gmail.com y� <br /> I,the undersigned,h by state that the information provided in this report is true and accurate,and that site operations are <br /> being conducte in ace rdance with the Division approved mining and reclamation plans. <br /> 26116 <br /> Signahws of Permittee Co fficer,Owner,or Documented Designee Date <br /> M-AF-01 <br />