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Phone Number: <br />Fax Number: <br />Email Address: <br />I, the undersigned, hereby state that the information provided in this report is true and accurate, and that site operations <br />are being conducted in accordance with the Division approved mining and reclamation plans. <br />elwl � 4e't-' /,.to. /X <br />Signaty% of Corporate Officer, Owner, or Documented Designee <br />Date <br />