2006-09-26_REVISION - M2000041

• Permit No: M2000041
• IBM Index Class Name: Revision
• Doc Date: 9/26/2006
• Doc Name: Tsf of permit and S.O. application
• From: Fremont Paving & Redi Mix Inc
• To: DRMS
• Type & Sequence: SO3
• Media Type: D
• Archive: No

-dooo- 041
Eyanr ~z Pit
3. CttrreatPernilttedOoerator.
CamtactPerson: C.k• Evans
Compacry Namc:
Strut: 31~ C liar RQaC.~ ~ .
Ciry. 5~1_ v~u G~
Stan: f~IM Zip Code: 880 ~ I _
Atea Cade: S o5 Telephone: 313 5'- l o
4, Sucmwr Operator.
i I, n ~ n / '--r
CtnttactPetsop: ~D~~-r•rirti ~~ 6/]il~~no°F~G'2/~ ~f~j /l~'_
Company Name: ~ ~ T I i ~ .Lyj_~
Street: ~ j /~
City: ~CLI/F'nVl f i ~in _
Suue: C D ~ Zip Code: ~• /~
Aroa Cade: ~~ Tekphaoe: 02 /J~-3o2~a `J _
II2S Tax ID No. or Social Seaairy No.:
5. AppFkation Fee: $100.06 for Hard Rock operations; 5125.00 for Consttvction Materials oporaticros
Make check payable to the Division of MmaaLs and Goology