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I •/~ <br />DIVLSION OF MINERALS AND GEOLOGY <br />CERTIFICATE OF SERVICE <br />Permit No.: C-81-019 <br />C. O. No.: <br />N.O.V. No.: C-95-026 <br />Q~t^,FI1/F~ <br />JAN 2 4 1996 <br />bivision of Minerals 8 Geology <br />Y'~ <br />I hereby certify that I served a copy of the foregoing NOTICE OF PROPOSED AMOUNT OF <br />CIVIL PENALTY on the operator therein described (a)* personal service upon the operator or its <br />representative at ,Colorado on OR (b)* by depositing a tnie <br />copy thereof fast class postage prepaid in the United States mails at Denver, Colorado, addressed <br />to the operator at the address above, on January 10, 1996 . <br />Signature of Person Served <br />(if personal service) <br />David A. Berry/Sen. Env. Prot. Specialist <br />Print Name and Title Print Name and Title <br />*---- Check applicable method of service. <br />REQUEST FOR CONFERENCE <br />The operator described above hereby requests an assessment or settlement conference as permitted <br />by C.R.S. 34-33-123(8). <br />Operator <br />By '~l <br />~Signatu <br />Date ~~ J`~ 19 / p <br />M: \oss\gew\urvice.dsb <br />Certified Mail No.: P 296 608 688 <br />