2013-07-18_REVISION - M2000149

• Permit No: M2000149
• IBM Index Class Name: REVISION
• Doc Date: 7/18/2013
• Doc Name: Conversion Application
• From: Dumb and Dumber Trucking, LLC
• To: DRMS
• Type & Sequence: CN1
• Media Type: D
• Archive: No

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11. Correspondence Information:
APPLICANT /OPERATOR (name, address, and phone of name to be used on permit)
Street/P.O. Box: 40586 Co. Rd. 21 P.O. Box:
City: Haxtun
State: CO Zip Code: 80731
Telephone Number: ( 970 ) _ 774 -6264 (home), 970 - 854 -3778 (work), 970 - 520 -0502 (cell)
Fax Number: ( 970 ) _ 854 -3811
INSPECTION CONTACT
Contact's Name: Brian Barton Title: Operator
(`nMnnnV NnMe. Dumb and Dumber Trucking, LLC
Street/P.O. Box: 16653 Highway 14
Brian Barton
Title: Operator
Contact's Name:
State: CO
Zip Code: 80751
Company Name:
Dumb and Dumber Trucking, LLC
Street/P.O. Box:
16653 Highway 14
P.O. Box:
City:
Sterling
Agency:
State:
CO
Zip Code: 80
Telephone Number:
( 970 1-520-3392
City:
Fax Number:
( ) -
State:
PERMITTING CONTACT
(if different from applicant/operator above)
Contact's Name:
Randy Schafer
Title:
Comnanv Name:
Street/P.O. Box: 40586 Co. Rd. 21 P.O. Box:
City: Haxtun
State: CO Zip Code: 80731
Telephone Number: ( 970 ) _ 774 -6264 (home), 970 - 854 -3778 (work), 970 - 520 -0502 (cell)
Fax Number: ( 970 ) _ 854 -3811
INSPECTION CONTACT
Contact's Name: Brian Barton Title: Operator
(`nMnnnV NnMe. Dumb and Dumber Trucking, LLC
Street/P.O. Box: 16653 Highway 14
P.O. Box:
City: Sterling
State: CO
Zip Code: 80751
Telephone Number: ( 970 1-520-3392
Fax Number: ( 1-
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State:
Zip Code:
Telephone Number: ( ) -
CC: STATE OR FEDERAL LANDOWNER (if any)
A OPn CV'
Street:
City:
State: Zip Code:
Telephone Number: ( ) -