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Greg Morrill <br /> July 8,2020 <br /> Page 4 <br /> Operator(s) Signature: <br /> By signing this, the Operator agrees with the stated violation, and agrees to comply with the <br /> Corrective Action(s) and Civil Penalty outlined above on the Staff Summary Form for Consent <br /> Agenda Items. <br /> n <br /> OT- �U--Z �Z D <br /> Operato nature Date <br /> STATE OF �20C.OfU(isa } <br /> COUNTY OF tiq L 5 } <br /> The foregoing instrument was hereby acknowledged before me this �day of :_I—IA� t-y' <br /> Mv221 LL , who is personally known tome or who has produced <br /> D 2 t V L-R-S L 1 as identification, and who signed this instrument willingly. <br /> Notary Public <br /> My commission expires: 2 1/ Z o 2CAR J <br /> [Seal] NOTARY PUBLIC <br /> STATE OF COLORADO <br /> NOTARY ID 19974006239 <br /> MY COMMISSION EXPIRES APRIL 24,2021 <br /> Page 4 of 4 <br />