Laserfiche WebLink
Affidavit For Import of Materials into Gloria Z Pit <br />Date or Time Period of Import: <br />Description of Import Material: <br />Entity Providing Material to Pit (not the trucking Company): <br />I hereby certify that the material described above and brought to the Gloria Z Mine site is inert, <br />which means it is free from any chemicals, toxic substances, acid forming material, or any other <br />material which would violate the material waste disposal laws of the State of Colorado. <br />Signature Written Name of Signer <br />Signer's Position in Company <br />Date: <br />Gloria Z Mine 2013 Amendment 15 <br />Company <br />