2010-01-12_REVISION - M1977222

• Permit No: M1977222
• IBM Index Class Name: REVISION
• Doc Date: 1/12/2010
• Doc Name: SO Appl.
• From: All Rite Paving and Redi Mix, Inc
• To: DRMS
• Type & Sequence: SO1
• Media Type: D
• Archive: No

-2-
II. ADMINISTRATIVE INFORMATION:
1. Permit Number:
2. Operation Name:

3. Current Permitted Operator:
Contact Person: C ),-V, Rj
Company Name: V aL C-0 NC. .
Street: ? 0 S- 0 e7. ??,,??X S S D
©C?1?
City:
State: ?] 0?0 Zip Code: 91010-1
Area Code: `I Telephone: 2 G q '?7 7 & `/
4. Successor Operator:
Contact Person:
Company Name:
Street:
City:
State:
Area Code:
IRS Tax ID No. or Social Security No.:

C /0y Zip Code: Ul2X
1 l / Telephone: 2,7z -Ql?a
/t'--!!5, Z:0 g5
5. Application Fee: $115.00 for Hard Rock operations; $144.00 for Construction Materials operations
Make check payable to the Division of Reclamation, Mining and Safety