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II. ADMINISTRATIVE INFORMATION: <br />1. Permit Number: <br />2. Operation Name: <br />3. Current Permitted Operator: <br />Contact Person: <br />Company Name: <br />Street: <br />City: <br />State: <br />Area Code: <br />4. Successor Operator: <br />Contact Person: <br />Company Name: <br />Street: <br />City: <br />State: <br />Area Code: <br />IRS Tax ID No. or Social Security No.: <br />-2- <br />M- 2004 -043 <br />Valco T Pit <br />Kevin Carrier <br />VliYlll/1!� 57 OS Inc-, t.2v... <br />Venab OS Welding & Rousabout, Inc. <br />1041 North Dumas Highway <br />Dumas <br />Texas <br />806 <br />Brad Blasi <br />40580 US HWY 350 <br />Zip Code: 79029 <br />Telephone: 381 -2121 <br />Universal Landcape & Aggregate Supply, Inc. <br />Trinidad <br />CO Zip Code: 81082 <br />719 Telephone: 845 -8789 <br />26- 0766389 <br />5. Application Fee: $115.00 for Hard Rock operations; $144.00 for Construction Materials operations <br />Make check payable to the Division of Reclamation, Mining and Safety <br />