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2019-01-18_REVISION - M1974086 (16)
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2019-01-18_REVISION - M1974086 (16)
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Entry Properties
Last modified
1/5/2025 2:54:07 AM
Creation date
1/22/2019 11:47:10 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1974086
IBM Index Class Name
Revision
Doc Date
1/18/2019
Doc Name
Request For Amendment To Permit
From
Asphalt Paving Co.
To
DRMS
Type & Sequence
AM4
Email Name
ECS
MAC
Media Type
D
Archive
No
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Affidavit for Import of Materials into Ralston Quarry <br /> Date or Time Period of Import: <br /> Description of Import Material: <br /> I <br /> Entity Providing Material to Pit(not the trucking Company): <br /> I hereby certify that the material described above and brought to the Ralston Quarry site is inert, <br /> which means it is free from any chemicals, toxic substances, acid forming material, or any other <br /> material which would violate the material waste disposal laws of the State of Colorado. <br /> Signature Written Name of Signer <br /> Signer's Position in Company Company <br /> Date: <br /> Ralston Quarry GM 1. k-ci and AswcmtM PH A* <br /> January 2019 D-8 <br />
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