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Page 5 of 5 <br />�" j- lei 77- /)-q <br />Division records indicate the following permittee contact information. If this information is not current, please type or <br />print current contact information: <br />Permittee Contact: <br />MarkGardner <br />Permittee Company: <br />Whitewater Building Materials <br />Address: <br />940 S. 10th St. <br />P.O. Box 1769 <br />Grand Junction, C081502 <br />Phone Number: <br />(970) 242-7538 <br />Fax Number: <br />(970) 242-1851 <br />Email Address: <br />Whiteh2o@acsol.net <br />I, the undersigned, hereby state that the information provided in this report is true and accurate, and that site operations are <br />being conducted in accordance with the Division approved mining and reclamation plans. <br />Signature ofPermittee. Vorviorate Officer, Owner, or Documented Designee Date <br />M-AFA] <br />