2018-01-23_REPORT - M2008001

• Permit No: M2008001
• IBM Index Class Name: Report
• Doc Date: 1/23/2018
• Doc Name: Returned Annual Fee/Report
• From: USPS
• To: DRMS / EWSD 1, LLC
• Annual Report Year: 2017
• Email Name: ERR
• Media Type: D
• Archive: No

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Perniritee Company-
EWSD 1, LLC
Address:
633 West 5th Street - 28th Floor
Los Angeles, CA 90071
Phone Number:
[phone]
Fax Number:
Email Address:
[e-mail]
Permitting Contact:
Anthony Adza
Company:
EWSD I, LLC
Address:
600 Wilshire Blvd, Suite 1500
Los Angeles, CA 90017
Phone Number:
[phone]
Fax Number:
Email Address:
[e-mail]
Inspection Contact:
Anthony Adza
Company:
EWSD 1, LLC
Address:
600 Wilshire Blvd, Suite 1500
Los Angeles, CA 90017
Phone Number:
[phone]
Fax Number:
Email Address:
[e-mail]
1, the undersigned, hereby state that the information provided in this report is true and accurate, and that site operations are
being conducted in accordance with the Division approved mining and reclamation plans.
Signature of Permittee, Corporate Officer, Owner, or Documented Designee
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Date