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Consent Agreement <br /> Page 4 <br /> November 22, 2016 <br /> Operator's Notarized Signature: As an authorized representative of the Operator, I hereby <br /> attest that the Operator concedes to the above described violation and agrees to comply with the <br /> Cease and Desist Order, Corrective Action, and Civil Penalty proposed in the STAFF <br /> SUMMARY FORM FOR CONSENT AGENDA ITEMS. <br /> Signed and dated this ,2 2 day of 2016. <br /> Pioneer Sand Company, Inc. <br /> (Operator) <br /> Signature: <br /> Title: <br /> State of (--`01 09d J>0 ) <br /> County of <br /> The foregoing instrument was acknowledged before me this day of 2016 <br /> by _J as ofOdJ�e.� 9•�' <br /> r <br /> FATHERINE MARIE MARTIN Notary Public <br /> NOTARY PUBLIC <br /> STATE OF COLORADO <br /> NOTARY ID 20124058539 <br /> s h,�'COMMISSION EXPIRES SEPTEMBER 7,2020 My Commission Expires: 7/---; �z t� <br /> SIGNATURES MUST BE IN BLUE INK <br />