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Page 5 of 5 <br /> Division records indicate the following permittee/landowner contact information(blank fields indicate that we do not have <br /> information on record). If this information is blank or not current,please type or print current contact information: <br /> Permittee Contact: Rick Hurworth <br /> Permittee Company: Delhur Industries, Inc. <br /> Address: 2443 West Hwy. 176 <br /> Andrews, TX 79714 <br /> Phone Number: (432)897-4301 <br /> Fax Number: (432)360-4273 <br /> Email Address: Bwelch@delhur.com <br /> Permitting Contact: Rick Hurworth <br /> Company: Del Hur Industries, Inc. <br /> Address: P.O. Box 883 <br /> Hermiston,OR 97838 <br /> Phone Number: (541) 567-8693 <br /> Fax Number: (541)567-8706 <br /> Email Address: <br /> Inspection Contact: Rick Hurworth <br /> Company: Del Hur Industries, Inc. <br /> Address: P.O. Box 883 <br /> 2nd and old Field <br /> Hermiston, OR 97838 <br /> Phone Number: (541)567-8693 <br /> Fax Number: (541)567-8706 <br /> Email Address: <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 Division approved mining and reclamation plans. <br /> f✓�21.d,I , r4ec i►E �AiC :�.�ECUTJvF .qss'%.s'T � Dt,0& A -7 <br /> Signature of Permittee orate Officer,Owner,or Documented Designee Date <br /> M-AF-01 <br />