2008-10-08_INSPECTION - M2008017

• Permit No: M2008017
• IBM Index Class Name: INSPECTION
• Doc Date: 10/8/2008
• Doc Name: Inspection Report
• From: DRMS
• To: Darwin Derr- Broken Arrow Investments, LLC
• Inspection Date: 10/3/2008
• Email Name: MAC
• Media Type: D
• Archive: No

(Page 4)
I & E Contact Address
NAME Mr. Darwin Derr
OPERATOR Broken Arrow Investment, LLC
STREET 699 N. First Avenue
CITY/STATE/ZIP Greeley, CO 80631
? CE
? BL
? FS
? HW
? HMWMD (CH)
? SE
? WQCD (CH)
Cc: Tony Waldron; DRMS