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,~ <br />DIVISION 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 />R~rFft/FI'? <br />JAN 24 ~ggg <br />Division of minerals ~ GeoioUv <br />,~ <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 true <br />copy thereof first 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 />Print Name and Title <br />*---- Check applicable method of service. <br />David A. Berry/Sen. Env. Prot. Specialist <br />Print Name and Title <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 />C~ Gc:~~JYU ~~ ~ . ~ ~. <br />Operator <br />By yt~i, ~ ~~ <br />\ Signatu <br />Date JCiv1 ~'~` 19 / k~ <br />,~-. <br />M:losalg~wl~ervice.dab ~ ' <br />Certified Mail No.: P 296 608 688 <br />