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2019-12-13_REVISION - M1980244 (63)
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2019-12-13_REVISION - M1980244 (63)
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Entry Properties
Last modified
1/7/2025 2:40:00 AM
Creation date
12/17/2019 8:37:50 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1980244
IBM Index Class Name
Revision
Doc Date
12/13/2019
Doc Name Note
Appendix 11
Doc Name
Request For Amendment To Permit
From
CC&V
To
DRMS
Type & Sequence
AM13
Email Name
TC1
MAC
BFB
ERR
JPL
Media Type
D
Archive
No
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3700 Havana.Suite 104 PICTURES OF TANK <br /> Denver.CO 80239 <br /> Ph-(303)307-4503 gape 1 ofw'e'N'.0Ar 1 <br /> Fax(303)307-9681 <br /> ACUREN <br /> TOMER CC$V MINING <br /> LOCATIONIADDRESS VICTOR COLORADO <br /> UNITISYSTEM EXTERNAL INSPECTION P.O. <br /> REM FUEL FARM ANTIFREEZE TK <br /> DESCRIPTION <br /> ANTIFREEZE PREMIX <br /> Ai <br /> ix-J- <br /> ado <br /> 3_ <br /> t r. <br /> r <br /> Dame Customer Contact PWDiern Report# unill No.on Job <br /> 7/28/2011 MIKE ELUS YES 72811A N!A 1 2 <br /> Travel if Applicable Aidines Pours: <br /> Hours: Miles Total Vehicle orked b and to PIA Hours <br /> PHIL SLACK API 653,LEV II N.FLORES LEVIIA <br /> ,ratiue of Customers Representative certifies time and material correct Name.S+pnalure,and Level of Acuren Inspection Examiner Assistant <br /> Cont.-RPT-DEN.rds SEE BACK FOR DISCLAIAER <br />
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