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Page 5of5 <br /> Division records indicate the following pernutteellandoxener contact information(blank fields indicate that we do not have <br /> inlrmation on record). Ifthis information is blank or not current,please type or print current contact information: <br /> Permittee Contact: Andre Laroche <br /> Permittee Company: Continental Materials <br /> Corporation <br /> Address: 444 E.Costilla St. <br /> Colorado Springs,CO 90903 <br /> Phone Number: (719)475-0700 (cell)719-491-0288 <br /> Fax Number: (719)475-0226 <br /> Email Address: _ andre_laroche@transitmix.com <br /> Permitting Contact: ?.4094E;3iel'xeF Andre Laroche <br /> Company: ftIRIUCHU11 MiRCHUlb Transit Mix Concrete Co. <br /> c <br /> Address: 444 E.Costilla St. <br /> Colorado Springs,CO 80903 <br /> Phone Number: (719)475-0700 Cell(719)491-0288 <br /> Fax Number: Fax(719)475-0226 <br /> Email Address: andre_laroche@transitmix.com <br /> Inspection Contact: MM4e**ie4x" <br /> Andre Laroche <br /> Company: Transit Nlix Concrete Co. <br /> Address: 444 E.Costilla St. <br /> Colorado Springs,CO 80903 <br /> Phone Number: (719)475-0700 <br /> Cell(719)491-0288 <br /> Fax Number: Fax(719)475-0226 <br /> Email Address: attdre_laroctteCaïż½transinWx.com <br /> 1,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 /> Q-0jM9 idoza 05-04-2017 <br /> SignafiAre of Permittee,Coraorate Officer,Ors ner,or Documented Designee Date <br /> M AF-0 <br /> 5 Page <br />