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' ~ PUBLIC.REVIEW~IIVI~'ORMATION <br />Please provide the following information for our files. Thank You. <br />Date: <br />Your Name: (P~~ <br />Compazry Name: -- - - - <br />Address: ~ ~ . <br />_ <br />Files to Review: Permit Number OperatorlCompany Name ~ . <br />~- <br />Reason for Review: <br />Phone Number: File Retumed:tnMC wu.a> <br />- <br />Copies Requested: Payment: _ <br />...................................................... <br />We ho <br />e that <br />our recent contact with the Divisi <br />was satisf <br />n of Mi <br />e <br />al <br />and Geolo ........ <br />and was <br />t <br />p <br />n <br />r <br />gy <br />;t <br />o <br />s ry <br />perlbrmed in a courteous and professional manner. <br />We would sim:erely appreciate beating from you about your experience in our offices o:r with Srtaff <br />from the DMG in the space provided below. Any comments or suggestions will make i t possible for <br />us to serve yo?~ better. Thank You. <br />Mike Long <br />Division Director <br />Conunents and/or suggestions: (For example: favorable/unfavorable regarding Div ision forms, <br />information, procedures, service, etc.) <br /> <br /> <br /> _ <br />_ <br />DATE: c: ~ s~~m~z.r,~ <br /> <br />