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PUBLIC REVIEW INFORMATION <br />Please provide the following information for our files. Thank You. <br />Date: <br />Your Name: (~~~ <br />Company Name: <br />Address: <br />Files to Review: Permit Number Operator/Company Name ~~ <br />Reason for Review: <br />Phone Number: File Returned:mMC ~;ti.t,~ <br />Copies Requested: <br />We hope that your recent contact with the Division of Minerals and Geology was satisfactory and was <br />performed in a courteous and professional manner. <br />We would sincerely appreciate hearing from you about your experience in our offices or with staff <br />from the DMG in the space provided below. any comments or suggestions will make it possible for <br />us to serve you better. Thank You. <br />Mike Long <br />Division Director <br />Comments and/or suggestions: (For example: favorable/unfavorable regarding Division forms, <br />information, procedures, service, etc.) <br />DATE: c:~~st~~t,ms.r~ <br />