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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 tau PICTURES OF TANK <br /> Denver.CO SUM <br /> Ph.(303)307�5-45 <br /> 03 Pape 1 of 1 <br /> Fax(303)307-901 <br /> ACUREN SC# <br /> 'USTOMER CC&V MINING <br /> �OCATIONIADDRESS VICTOR COLORADO <br /> UNITISYSTEM EXTERNAL INSPECTION P.O. <br /> ITEM TK3 ROCK DRILL OIL IRONCLAD FACILITY <br /> DESCRIPTION <br /> Q V RAITJ C'7"04y MM^ <br /> 10 W-r a + r'}�i ;. <br /> AN K !t^ <br /> aW If1PlJ_ .. <br /> n n, .TRAJ S 10 <br /> > <br /> r- <br /> 3� V_.. <br /> d <br /> all <br /> kx <br /> Date Cusborw Contact Per Diem Report I nR o.onJob <br /> 1712812011 MIKE ELLIS k 72811A N/A 2 <br /> Travel if Applicable ines rs: <br /> Hours: Miles Total Ivehicle rrd b and to Flpm Hours <br /> PHIL SLACK API 653,LEV II NYLORES LEVIIA <br /> W e of Cusbmer's Representative certifies time and materiail caned Name.Signature.and Level of Acrsen Inspection Examiner Assistant <br /> ....-RPT-0EN.ids SEE BACK FOR DISCLAMER <br />
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