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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: Joseph Venuti <br /> tkig_ <br /> Permittee Company: Ace West Trucking, Inc. lAtk We-77- -rCXAcF'I L f i <br /> Address: 18554 No. Red Mountain Drive / , 0 t'a <br /> Santa Clara, UT 84765 / 1�1) <br /> FAVLISI,Lf <br /> Phone Number: (970)675-2753 4/3S- <br /> , _(QV <br /> Fax Number: <br /> Email Address: Joby@netutah.com pczk-Tre,H I Pect) .(0'1\ <br /> Permitting Contact: Joseph VenutiN ?17-1-rr <br /> Company: Ace West Trucking, Inc. <br /> 46E <br /> � T �� 'haAISki IraAddress: P O Box 117 l? /X 4-0 <br /> Rangely,CO 81648CO& <br /> ?-sfP\Ait,(al 0( 1()/ <br /> Phone Number: (970)675-2753 1 ) (//P /3 G q (/� fj <br /> Fax Number: � (J <br /> Email Address: Joby@netutah.com r� e V7P L cY s(aM <br /> Inspection Contact: Joseph Venuti -�, T - - <br /> Company: Ace West Trucking,Inc. PtC r , I , 7d(241L_( (,J <br /> C <br /> Address: P O Box CO1 ' ,,O\,,,,, C F� It 2 <br /> 7 <br /> Rangely,CO 81648 MP(ig <br /> Phone Number: (970)675-2753 - <br /> Li cp`18 <br /> Fax Number: L <br /> Email Address: Joby@netutah.com J <br /> I,the undersigned,hereby state that the information provided in this report is true and accurate, and that site operations are <br /> being conducte ccorda e i the Division approved mining and reclamation plans. <br /> \\. 1D-1'9-17 <br /> Signature of Permittee,Corporate Officer,Owner,or Documented Designee Date <br /> M-AF-01 <br />