GENERAL45369

• Permit No: C1980004
• IBM Index Class Name: General Documents
• Doc Date: 5/13/2002
• Doc Name: MSHA TEST SITE DOCUMENTATION-1980
• Permit Index Doc Type: Other Permits
• Media Type: D
• Archive: No

II. Psrtnenhlp
Trade Name
Pannersnip Atldress (street) Ciry State Zlp Code

Names of Partners Street Address City State Zip Code
III. Corporation
Corporation Name State of Incorporation
Sheridan Enterprises, Inc.
California
Corporation Address (street) Ciry State Zip Code
9745 East Hampden Avenue
Denver
Colorado 80231
Names 8 Titles of Corporation
011icers and Directors
List Attached Street Atldress Clry State Zip Code

Is Corporation a Subsidiary? Name anC Atldress dl Parent Corporation
® Yes ^ No Occidental Petroleum Corporation
If yes, give name and address 10889 Wi 1 shi re Boulevard
of parent corporation. LOS Angel eS, California 90024
IV. Other
Name of Organization Type of Organization
(street)
Code
Names & Titles of Principal
Organization Olficials or
Members Street Address Ciry State Zip Code

Names of Individuals with
Ownership Interests in
Organization Street Address ~ Ciry State Zip Code

MSHA Form 2000.7, Oct 78
Copy t-MSHA
i.