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<br />III IIIIIIIIIIIII 111 <br /> <br />DIVISION OF MINERALS AND GEOLOGY <br />CERTIFICATE OF SERVICE <br />~...., <br />PERMIT NO.: C-B9-074 <br />C.O. NO.: N/A <br />N.O.V. NO.: C-93-151 <br />I hereby certify that I served a copy of the foregoing NOTICE OF PROPOSED AMOUNT <br />OF CIVIL PENALTY on the operator therein described by depositing a true copy <br />thereof first class postage prepaid in the United States mails at Denver, <br />Colorado, addressed to the operator at the address above, on December 31, 1993. <br />Certified Mail No.: 296 527. 463 <br />Return Recei sted <br />Signature of Person Served <br />if personal service <br />Print Name and Title <br />gna <br />David A. Berry <br />Senior Environmental Protection Specialist <br />Print Name and Title <br />REQUEST FOR CONFERENCE <br />The operator above described hereby requests an assessment or settlement <br />conference as permitted by C.R.S. 34-33-123(8). <br />,2-~o~u~.~aK )~c~,~..~.9--~0~ <br />Operator <br />gy ~ a. ~ ~:wL_ <br />(Signature) <br />Date l ` ~~ r~ 19_ <br />DAB/scm <br />9605E <br />